Remote RN Case Manager: Return-to-Work & Care Management

Crawford & Company; Miami (FL); Hybrid; USD 70,000 - 90,000; 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 RN Case Manager to support Miami-area patients with cost-effective, quality medical management. This role blends work-from-home with local field travel, requiring strong clinical judgment and coordination across providers, employers, and payers.

The ideal candidate holds an RN license, national certification, and 1–3 years of case management experience, with the ability to travel up to 70% and uphold URAC, CMSA, and Broadspire QA guidelines while delivering

Qualifications

• RN degree required.
• National Certification required (CCM, CRC, COHN, CRRN).
• Workers' Comp Case Management experience a plus.
• Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred.

Responsibilities

• Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
• Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW.
• Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.
• May perform job site evaluations/summaries to facilitate case management process.
• Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians.
• Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services.

Skills

RN license

Case management

Oral & written comms

Travel readiness

Microsoft Office

Education

RN degree or diploma

BSN degree preferred

National Certification (CCM, CDMS, CRRN, COHN) preferred

Tools

Lotus Notes

CMS software

Job description

Crawford & Company is seeking an RN Case Manager to support Miami-area patients with cost-effective, quality medical management. This role blends work-from-home with local field travel, requiring strong clinical judgment and coordination across providers, employers, and payers.

The ideal candidate holds an RN license, national certification, and 1–3 years of case management experience, with the ability to travel up to 70% and uphold URAC, CMSA, and Broadspire QA guidelines while delivering