Remote RN Case Manager - Field Travel (CA)

Crawford & Company; Peachtree Corners (GA); Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Quarterly Bonus Opportunities

Free CEUs for licenses & certificates

License & Certification Reimbursement

Job summary

Crawford & Company is seeking an experienced RN Case Manager for the Northern Los Angeles County region. This remote role involves significant local travel to homes, clinics, and workplaces to manage cases per URAC and CMSA standards.

Requirements include an active RN license, 1–3 years in case management, and national certification preferred. Travel may reach about 70% of work time; a BSN is preferred and licensing compliance is essential.

Qualifications

• RN degree required and active state licensure.
• National Certification preferred (CCM, CRC, COHN, CRRN).
• 1–3 years clinical experience in case management or related field.

Responsibilities

• Review case records, analyze data, and assess medical status to plan RTW.
• Communicate with claims adjusters, employers, and providers to coordinate care.
• Support patients with Workers' Comp, health, liability, and disability benefits.
• Travel to homes, clinics, and sites to facilitate case management services.
• Ensure documentation meets QA standards and URAC CMSA guidelines.
• Maintain timely follow-ups and return-to-work arrangements with stakeholders.
• Escalate complex cases and refer for Peer reviews/IME when needed.

Skills

Case management

Communication

Travel readiness

Healthcare knowledge

Regulatory understanding

Education

RN degree

BSN preferred

Tools

Microsoft Office

Lotus Notes

Job description

Crawford & Company is seeking an experienced RN Case Manager for the Northern Los Angeles County region. This remote role involves significant local travel to homes, clinics, and workplaces to manage cases per URAC and CMSA standards.

Requirements include an active RN license, 1–3 years in case management, and national certification preferred. Travel may reach about 70% of work time; a BSN is preferred and licensing compliance is essential.