RN Operations & Clinical Services Manager | Flexible Schedule

Forthright Case Management Llc; Bozeman (MT); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Bonus based on performance

Flexible schedule

Job summary

Forthright Case Management is seeking a dynamic RN to serve in a dual Operations & Clinical Services role, balancing leadership with hands-on nurse case management. The role requires coordinating care, supervising daily workflows, and driving growth through client relationships and referrals.

The ideal candidate will have an active RN license, 3+ years in nurse case management, experience in workers' compensation and strong communication, with CCM preferred.

Qualifications

• Active, unrestricted RN license.
• Minimum of 3 years Nurse Case Management experience preferred.
• Experience in workers' compensation case management strongly preferred.
• CCM certification or willingness to obtain certification preferred.
• Excellent written and verbal communication skills.
• Strong clinical assessment and critical thinking abilities.
• Experience with Microsoft Office and electronic case management systems.
• Ability to travel locally for field case management and client meetings as needed.

Responsibilities

• Manage a caseload of workers' compensation nurse case management files when assigned.
• Coordinate treatment plans with injured workers, physicians, employers, adjusters, attorneys, and rehabilitation professionals.
• Attend physician appointments when appropriate.
• Evaluate treatment plans and identify barriers to recovery.
• Facilitate timely return-to-work planning.
• Prepare comprehensive case management reports meeting client expectations.
• Maintain documentation per state regulations, HIPAA and client requirements.
• Provide telephonic and field case management services as needed.
• Oversee daily administrative and operational workflows.
• Develop and maintain relationships with insurers, TPAs, employers, attorneys, and healthcare providers.
• Support billing, operational reporting and QA initiatives.
• Identify opportunities to improve efficiency and outcomes.
• Represent Forthright Case Management at conferences and client meetings.
• Assist with recruiting, onboarding, and mentoring Nurse Case Managers.
• Support clinical orientation and professional development.
• Promote Forthright's culture of collaboration, professionalism, and clinical excellence.

Skills

Nurse Case Management

Communication skills

Team coordination

Travel readiness

Clinical judgment

Education

RN license (active, unrestricted)

CCM certification preferred

Tools

Microsoft Office

Electronic case management systems

Job description

Forthright Case Management is seeking a dynamic RN to serve in a dual Operations & Clinical Services role, balancing leadership with hands-on nurse case management. The role requires coordinating care, supervising daily workflows, and driving growth through client relationships and referrals.

The ideal candidate will have an active RN license, 3+ years in nurse case management, experience in workers' compensation and strong communication, with CCM preferred.