Nurse Case Manager: Return-to-Work Specialist

AF Group; Jackson (MS); On-site; USD 63,000 - 90,000; Full time

Job summary

AF Group is seeking a Nurse Case Manager to review workers' compensation claims, applying clinical knowledge to evaluate medical needs and coordinate treatment for timely return to work. The role emphasizes customer service, documentation, and collaboration with claim handlers to drive efficient resolutions.

Ideal candidates hold an active RN license (BSN preferred) with several years of clinical or workers' compensation experience, and proficiency with the Microsoft Windows suite for

Qualifications

• Registered Nurse license active and unrestricted.
• Bachelor's degree in Nursing (BSN) preferred.
• Three years active patient or clinical care experience.

Responsibilities

• Review and assess workers' compensation claims for medical necessity and appropriateness.
• Coordinate treatment and return-to-work plans for claimants.
• Communicate final decisions and requirements to claim handlers and providers.
• Adhere to California Nurse Practice Act and related professional standards.

Education

Registered Nurse license (RN)

BSN preferred

Tools

Microsoft Windows Suite

Job description

AF Group is seeking a Nurse Case Manager to review workers' compensation claims, applying clinical knowledge to evaluate medical needs and coordinate treatment for timely return to work. The role emphasizes customer service, documentation, and collaboration with claim handlers to drive efficient resolutions.

Ideal candidates hold an active RN license (BSN preferred) with several years of clinical or workers' compensation experience, and proficiency with the Microsoft Windows suite for