Phone-Based RN Case Manager (Workers’ Comp)

Insight Global

Dallas (TX)

On-site

USD 85,000 - 120,000

Full time

12 days ago
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Job summary

Insight Global is seeking a Case Management Nurse to join their client’s team. The nurse will review and coordinate medical care for injured employees, ensuring treatment is medically necessary and supports timely recovery and return to work.

They will partner with adjusters, providers, employers, and other stakeholders to manage treatment plans, document case activities, drive claim resolution, and maintain compliance with regulatory and quality standards.

Qualifications

  • Active Texas Compact RN license.
  • 8 years of experience in the Clinical Nursing space.
  • Minimum 3 years of experience within Case Management.
  • Bachelor’s Degree in Nursing (BSN) or equivalent experience.
  • Knowledge of workers’ compensation case management, utilization review, injury management, and return-to-work practices, with expertise in regulatory guidelines, pain management, and behavioral health. CCM Certification (or ability to obtain in the first 6-12 months of employment).

Responsibilities

  • Review and coordinate medical care for injured employees to ensure medical necessity and timely recovery.
  • Collaborate with adjusters, providers, employers and other stakeholders to manage treatment plans.
  • Document case activities and drive claim resolution.
  • Maintain compliance with regulatory and quality standards.

Skills

RN License (Texas)
Clinical Nursing
Case Management
W/C Case Mgmt Knowledge
Pain & Behavioral Health knowledge

Education

BSN or equivalent
CCM Certification (or ability to obtain in 6–12 months)

Job description

Insight Global is seeking a Case Management Nurse to join their client’s team. The nurse will review and coordinate medical care for injured employees, ensuring treatment is medically necessary and supports timely recovery and return to work.

They will partner with adjusters, providers, employers, and other stakeholders to manage treatment plans, document case activities, drive claim resolution, and maintain compliance with regulatory and quality standards.

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