RN, Case Manager

Appone; Los Angeles (CA); On-site; USD 120,000 - 180,000; Full time

Job summary

ISYS Case Management is seeking a registered nurse with CMSA guidelines experience to provide field-based case management for injured workers. The role involves coordinating care, scheduling visits, and communicating with carriers, providers, and employers.

Excellent communication and organizational skills are essential for timely claim progression and return-to-work outcomes. Compensation ranges from $120,000 to $180,000 annually, with potential bonus.

Qualifications

• RN-BC registered nurse required with CMSA guidelines knowledge.
• High school diploma required; bachelor’s degree preferred.
• Credentials: CCM, CDMS, ACM, LCSW or CRC are a plus; licensure must be valid.

Responsibilities

• Provide field-based case management within workers' compensation.
• Travel to in-person appointments across designated areas.
• Manage caseload with proactive scheduling and prioritization.
• Coordinate with providers, carriers, and employers for timely care.
• Maintain documentation and CMSA/isys guidelines compliance.

Skills

English language skills

Prioritization

Problem solving

Time management

Customer service mindset

Compassion

Education

High School Diploma

Bachelor’s Degree or Higher Education

CCM/CDMS/ACM/LCSW/CRC certifications

Tools

MS Office Suite

Windows

Job description

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Position Requirements

REQUIREMENTS:

• High School Diploma
• Current valid State Driver’s license
• Registered Nurse (RN-BC)
• Outstanding English language skills: speaking, writing, grammar, professional communication
• Proficient working with PCs and Windows and MS Office Suite (ability to type/key at a moderate speed) and willingness to learn new technologies
• Excellent prioritization, problem solving, organization and time management
• Strong character: Dependability, Honesty, Determination and Compassion
• Ability and willingness to obtain CCM certification after the first year of employment
• Ability and willingness to establish home office with strong internet connection
• Understanding and appreciation of excellent customer service and a desire to serve
• All credentials and licensure must be valid and maintained

NOT REQUIRED BUT PREFERRED:

• Bachelor’s Degree or Higher Education
• Related Certifications: CCM, CDMS, ACM, LCSW and/or CRC
• Background in Nursing, Social Work, Counseling, Occupational Health, Psychology, and/or Chiropractic.

Applicants notice: Our Human Resources emails come only from email addresses ending in @isyscm.com. Do not respond to or share personal information with anyone claiming to represent ISYSfrom another email domain.

Full-Time/Part-Time Full-Time

About the Organization

Description

RN, Case Manager (Field based position servicing Northridge and surrounding areas)

Feel the Value of Excellence by providing quality medical case management for injured workers, coordinating appropriate care, making recommendations, and professionally communicating with insurance carriers, healthcare providers, ancillary vendors, employers, and attorneys. Make a difference by driving to and attending medical appointments in-person. Complete prompt and thorough documentation and qualify for bonus compensation. Enjoy inserting your own style into the work you do and benefiting from more flexibility at work. This position offers the privilege to impact your earnings and the opportunity to adjust your schedule. Do you have a strong work ethic and high integrity? Then this very rewarding and autonomous role might just be the right fit!

COMPENSATION RANGE: $120,000.00 to $180,000.00 annually

GENERAL SUMMARY:

Provide field-based case management services (within the worker’s compensation industry) by utilizing professional judgment and discretion, applying professional processes, and adhering to Case Management Society of America (CMSA), ISYS, and customer guidelines.

Facilitate appropriate qualitative and timely medical care for injured workers by implementing prudent case management strategies, demonstrating proactive communication, and appropriate coordination with all parties to enable optimal recovery outcomes, including return to work determination, file progression towards Permanent and Stationary designation, and cost containment for the customer.

Facilitate timely claim resolution through proactive and professional communications, conducting case specific research, information analysis and providing appropriate advice, direction, and action plans to implement treatment and optimize realistic outcomes.

ESSENTIAL JOB FUNCTIONS:

• Frequent travel (Driving) throughout designated geographical service areas to in- person appointments/visits. Potential overnight or air travel for special occasions or special geographies, or for coverage purposes.
• Management of cases as assigned by ISYS, including “rush”/same day referrals from ISYS’ customers and attendance at medical appointments scheduled during the hours of the facilities providing treatment.
• Autonomous management of assigned caseload, including coordination of weekly and daily work activities and schedule, ensuring optimal time management and professional prioritization of all activities.
• Conducting onsite Case Management services following the CMSA guidelines and ISYS protocols and procedures.
• Enthusiastically and professionally coordinate, facilitate, conduct, and complete in-person attendance at physician appointments, hospital visits, case conferences, home visits, and ancillary providers to facilitate treatment recommendations in a timely manner.
• Initiate and conduct professional discussions with medical providers regarding diagnosis, treatment, and prognosis.
• Apply the case management process, education, and experience to facilitate appropriate and timely treatment and recovery of the injured worker with the goal of maximal recovery and maximal return to work.

• Provide proactive and timely communication, and coordinate collaboration with all parties involved in each case, in-person, by phone, and/or in writing.
• Support the injured worker’s progress towards achieving Maximum Medical Improvement and foster realistic and effective Return to Work opportunities by exploring viable options with all involved parties.
• Provide field-based case management services (within the worker’s compensation industry) by utilizing professional judgment and discretion, applying professional processes, and adhering to Case Management Society of America (CMSA), ISYS, and customer guidelines.
• Facilitate appropriate qualitative and timely medical care for injured workers by implementing prudent case management strategies, demonstrating proactive communication, and appropriate coordination with all parties to enable optimal recovery outcomes, including return to work determination, file progression towards Permanent and Stationary designation, and cost containment for the customer.
• Facilitate timely claim resolution through proactive and professional communications, conducting case specific research, information analysis and providing appropriate advice, direction, and action plans to implement treatment and optimize realistic outcomes.

GREAT BENEFITS:

The ability to impact your own income through conscious effort is such a rare privilege and is one of the main perks of this special position. Compensation includes both biweekly salary and bonus. Ongoing bonus pay is not capped which means high earning potential is in your hands.

The opportunity to adjust your work schedule and navigate your responsibilities in a way that fits your personal preference and workstyle.

Rest and relaxation are important, so PTO (vacation) is accrued monthly. Plus, you can earn bonus PTO rewards annually and enjoy even more time off.

A benefits package with tax-deferred retirement program, a flexible schedule, medical, dental, and vision insurance, ancillary supplement health plans, Long-term disability insurance, and employee assistance program.

ABOUT ISYS CASE MANAGEMENT:

ISYS is an organization of people with big minds, big hearts, lots of spirit and good character whose mission is to work creatively and intensively to provide case management solutions and have a positive impact on those we serve. Providing forward focused care coordination and customer service in the workers compensation community since 1998, ISYS has an established brand reputation of delivering on our promise to provide consistent high quality catastrophic, rush, and onsite field medical case management services. Our company culture is based on living our values to:

Always do the right thing

Deliver excellence in everything we do

Encourage a Hug Your Customer philosophy

Communicate respectfully and proactively

Build relationships upon trust

Give generously

Pursue growth and learning

Be honest, authentic, grateful, and humble

Promote individual and economic liberty

Embrace the family spirit

Annual employee surveys are conducted as part of holding ourselves accountable to living these values and delivering on our promise to our employees. Annual team building, annual gatherings to acknowledge exceptional performance, and routine hugging are all part of our work family culture.

ISYS also has a Charitable Activities Committee that oversees and promotes employee involvement in our Pay it Forward program, which focuses on different ways to give back to the communities in which we live and work.

Thank you for your interest in working with ISYS!

Find employee testimonials and check us out at www.isyscm.com

For more information about our Privacy Practices please see our company website privacy policy at https://isyscm.com/isys-solutions-inc-california-privacy-notice-job-applicants/

This position is currently accepting applications.