Nurse Case Manager - Workers' Comp & RTW

AF Group; New Berlin (WI); On-site; USD 63,000 - 90,000; Full time

Job summary

The Nurse Case Manager (NCM) at AF Group applies medical knowledge to review workers' compensation claims, evaluate treatment needs, and oversee appropriate care. You coordinate medical treatment and advocate for timely return to work, engaging claimants and physicians while collaborating with handlers to resolve cases effectively.

You will apply evidence-based guidelines, maintain professional communication, and ensure compliance with applicable regulations and company policies in a

Qualifications

• Registered Nurse license active and unrestricted required.
• Bachelor's degree in Nursing (BSN) preferred.

Responsibilities

• Review workers' compensation claims to assess medical necessity and care plan.
• Coordinate treatment plans and timely return-to-work programs.
• Communicate decisions to claim handlers and providers clearly.
• Apply standards of practice and ensure policy compliance in case management.

Skills

Organization

Time management

Communication

Customer service

Report writing

Teamwork

Critical thinking

Clinical judgment

MS Office

Interpersonal skills

Education

BSN degree

Job description

The Nurse Case Manager (NCM) at AF Group applies medical knowledge to review workers' compensation claims, evaluate treatment needs, and oversee appropriate care. You coordinate medical treatment and advocate for timely return to work, engaging claimants and physicians while collaborating with handlers to resolve cases effectively.

You will apply evidence-based guidelines, maintain professional communication, and ensure compliance with applicable regulations and company policies in a