Remote Nurse Case Manager – Workers’ Comp & Return-to-Work

Acrisure Trade Credit; San Jose (CA); In loco; USD 85.000 - 94.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental & Vision insurance

401(k) Retirement plan

HSA & FSA options

Paid time off

Descrizione del lavoro

Acrisure is seeking a Telephonic Nurse Case Manager to support workers’ compensation claims through clinical case management and coordination of care. This role collaborates with medical providers, employers, claims professionals, and injured workers to facilitate appropriate treatment, promote recovery, and support safe return to work outcomes.

Candidates must have hands-on workers’ compensation experience and be able to manage a high-volume caseload in a structured, fast-paced environment.

Competenze

• Active RN license required.
• CCM certification required.
• California nursing license (multistate) preferred.

Mansioni

• Manage telephonic case management for workers’ compensation claims.
• Coordinate care with healthcare providers, employers, claims staff, and injured workers.
• Evaluate treatment plans and provide guidance based on clinical knowledge and best practices.
• Facilitate return-to-work planning and monitor progress toward recovery goals.
• Maintain compliant documentation and HIPAA adherence throughout the claim lifecycle.
• Advocate for cost-effective, high-quality care.
• Handle a high-volume caseload independently and prioritize tasks.

Conoscenze

Strong communication

Independent work

Bilingual Spanish (beneficial)

Microsoft Office proficiency

Formazione

Active RN license

CCM certification

Multistate California Nursing License

Strumenti

Microsoft Office

Descrizione del lavoro

Acrisure is seeking a Telephonic Nurse Case Manager to support workers’ compensation claims through clinical case management and coordination of care. This role collaborates with medical providers, employers, claims professionals, and injured workers to facilitate appropriate treatment, promote recovery, and support safe return to work outcomes.

Candidates must have hands-on workers’ compensation experience and be able to manage a high-volume caseload in a structured, fast-paced environment.