RN Case Manager - Workers' Compensation

Vetted Solutions; Arlington Heights (IL); On-site; USD 70,000 - 95,000; Full time

Job summary

Vetted Solutions is seeking an RN Case Manager, Workers Compensation to coordinate care for injured employees and facilitate a timely return to work. You will liaise with healthcare providers, TPAs, legal teams, and leadership to resolve cases and ensure policy compliance.

The role requires clinical nursing expertise, IL RN licensure, BLS, and 3+ years of experience, with strong organizational and communication skills to educate staff and maintain safety standards.

Qualifications

• Bachelor's degree in Nursing or Healthcare/Science.
• RN license in Illinois.
• BLS certification.
• 3+ years of clinical nursing experience.
• Knowledge of workers' compensation laws and claim management.
• Strong problem-solving, attention to detail, and compassionate skills.
• Proficiency in MS Word, Excel, and PowerPoint.

Responsibilities

• Coordinate care and manage workers' compensation cases.
• Act as liaison among injured employees, providers, TPAs, legal teams, and leaders.
• Assess medical progress and develop return-to-work plans.
• Coordinate tests and treatments and monitor adherence.
• Document activities in case management systems accurately.
• Collaborate with providers to ensure appropriate treatment and recovery.
• Ensure compliance with policies and regulations; educate staff on processes.
• Support patient safety, infection control, and disease clearance when needed.

Skills

Compassionate care

Attention to detail

Problem-solving

MS Office proficiency

Education

Bachelor's degree in Nursing or Healthcare/Science

Job description

The RN Case Manager, Workers Compensation is responsible for coordinating care and managing cases for injured employees, focusing on facilitating their safe and timely return to work.

They serve as a liaison among injured team members, healthcare providers, third-party administrators, legal teams, and organizational leaders to ensure seamless case resolution and compliance with policies and regulations.

Key duties include assessing medical progress through various visit types, developing individualized return-to-work plans, coordinating tests and treatments, monitoring treatment adherence, and documenting all activities accurately within case management systems.

They collaborate with healthcare providers to ensure appropriate treatment and recovery, participate in communicable disease clearance when necessary, and maintain patient safety and infection control standards.

Building relationships across teams, responding promptly to customer needs, staying updated on regulations and best practices, and educating staff on workers' compensation processes are essential components of the role.

Qualifications Include

• Bachelor's degree in Nursing or Healthcare/Science
• Registered Nurse (RN) license in Illinois
• BLS certification
• 3+ years of clinical nursing experience
• Knowledge of workers' compensation laws and claim management
• Strong problem-solving, attention to detail, and compassionate skills
• Proficiency in MS Word, Excel, and PowerPoint.

This full-time position offers professional growth opportunities, competitive benefits, and the chance to contribute to a patient-centered healthcare environment focused on safety and recovery.