Senior Nurse Case Manager - Remote & Field-Based

AF - Group; Knoxville (TN); Hybrid; USD 74,000 - 123,000; Full time

Job summary

AF - Group in the United States seeks a Senior Nurse Case Manager in Claims to support strategic initiatives, review complex workers’ compensation claims, determine causality, promote return to work, and develop cost containment programs.

The Field SNCM Manager will travel for on-site care and coordination, manage external NCMs, and collaborate with providers and employers to ensure timely, appropriate care and successful RTW outcomes.

Qualifications

• Active RN license in good standing.
• BSN preferred.
• Minimum five years in injury case management.
• Three years of RN clinical experience.
• Field NCM experience preferred.

Responsibilities

• Oversee initial contacts and case assignments.
• Assess medical status and determine causal relations.
• Coordinate with employers for early RTW and duty modifications.
• Mentor junior NCMs and prepare client presentations.
• Prepare monthly outcomes and quality evaluations.

Skills

Negotiation skills

Communication skills

Analytical thinking

Leadership

Team collaboration

Problem solving

Conflict resolution

Attention to detail

Education

RN license active

BSN preferred

Tools

EMR systems

Microsoft Office

Job description

AF - Group in the United States seeks a Senior Nurse Case Manager in Claims to support strategic initiatives, review complex workers’ compensation claims, determine causality, promote return to work, and develop cost containment programs.

The Field SNCM Manager will travel for on-site care and coordination, manage external NCMs, and collaborate with providers and employers to ensure timely, appropriate care and successful RTW outcomes.