Senior Nurse Case Manager - Field & Remote Care Leader

Emergent Holdings, Inc.; Brighton (MI); Hybrid; USD 74,000 - 123,000; Full time

Benefits offered by this job

Hybrid work

Job summary

Emergent Holdings, Inc. seeks a Senior Nurse Case Manager to support the Claims Department in reviewing complex workers’ compensation claims, assessing medical necessity, and facilitating return-to-work plans.

This hybrid role requires on-site interactions with injured workers, providers, and employers, plus leadership to mentor other nurse case managers and help implement cost containment initiatives. The SNCM will work across jurisdictions, apply clinical judgment, and coordinate patient care

Qualifications

• Active RN license required.
• BSN preferred.
• Five years of progressive responsibility in injury case management.
• Three years of active patient or clinical RN experience.
• Three years of workers’ compensation or related health experience preferred.

Responsibilities

• Oversee new assignments and contact parties in a timely manner.
• Review patient status to determine causality of symptoms.
• Coordinate early return-to-work or alternate duties.
• Provide oversight of external NCM task assignments and plan actions.
• Prepare monthly NCM outcomes and assist with quality evaluations.

Skills

Negotiation

Communication

Leadership

Team collaboration

Time management

Problem solving

Clinical judgment

Independent work

Education

RN license active

BSN preferred

Tools

Microsoft Office

Job description

Emergent Holdings, Inc. seeks a Senior Nurse Case Manager to support the Claims Department in reviewing complex workers’ compensation claims, assessing medical necessity, and facilitating return-to-work plans.

This hybrid role requires on-site interactions with injured workers, providers, and employers, plus leadership to mentor other nurse case managers and help implement cost containment initiatives. The SNCM will work across jurisdictions, apply clinical judgment, and coordinate patient care