Nurse Case Manager: Return-to-Work & Care Coordinator

AF Group; Houston (TX); On-site; USD 63,000 - 90,000; Full time

Job summary

AF Group is seeking a Nurse Case Manager in Houston to apply medical knowledge in reviewing workers' compensation claims. You will assess, plan, and oversee treatment, coordinate medical care, and work toward timely return to work for injured workers.

The role requires RN licensure and a BSN preference, with strong communication, critical thinking, and clinical care skills. Collaboration with claim handlers and providers is essential to achieve optimal outcomes.

Qualifications

• RN license active and unrestricted required.
• BSN preferred as an advanced nursing degree.
• Strong time management and communication skills.
• Knowledge of workers' compensation processes and clinical guidelines.

Responsibilities

• Review and evaluate medical status of workers' compensation claims.
• Coordinate and monitor treatment to ensure medical necessity and timely return to work.
• Communicate with claim handlers, providers and claimants to resolve disputes.
• Ensure adherence to organizational and state policy requirements.

Skills

Time management

Communication

Critical thinking

Clinical care

Education

RN license (active)

BSN preferred

Tools

Microsoft Windows Suite

Job description

AF Group is seeking a Nurse Case Manager in Houston to apply medical knowledge in reviewing workers' compensation claims. You will assess, plan, and oversee treatment, coordinate medical care, and work toward timely return to work for injured workers.

The role requires RN licensure and a BSN preference, with strong communication, critical thinking, and clinical care skills. Collaboration with claim handlers and providers is essential to achieve optimal outcomes.