Senior RN Case Manager — Hybrid Remote/Field

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

Job summary

Emergent Holdings, Inc. is seeking a Senior Nurse Case Manager in the Claims Department to support strategic initiatives, review complex workers' compensation claims for medical necessity, and facilitate return to work.

This role may be performed telephonically or as a Field NCM, with on-site coordination when required. You will lead case management activities, mentor other nurses, and prepare presentations for prospective customers, while ensuring compliance across multiple jurisdictions and

Qualifications

• RN license active and unrestricted is required.
• BSN degree is preferred.
• Strong negotiation, communication, and analytical skills are essential.

Responsibilities

• Oversee new assignments and make timely initial contacts with all parties.
• Reviews patient clinical status and history to determine causality.
• Coordinate with employer for early return to work or alternative duties.
• Manage external nurse case management and provide POA with timelines.
• Apply medical knowledge to assess treatment necessity and outcomes.

Skills

Negotiation skills

Oral and written communication

independently work

Leadership abilities

Team building

Analytical skills

Education

Registered Nurse license active

BSN preferred

Tools

Microsoft Windows Suite

Job description

Emergent Holdings, Inc. is seeking a Senior Nurse Case Manager in the Claims Department to support strategic initiatives, review complex workers' compensation claims for medical necessity, and facilitate return to work.

This role may be performed telephonically or as a Field NCM, with on-site coordination when required. You will lead case management activities, mentor other nurses, and prepare presentations for prospective customers, while ensuring compliance across multiple jurisdictions and