Telephonic Insurance Case Manager- Texas

Insight Global; Dallas (TX); On-site; USD 85,000 - 120,000; Full time

Job summary

Insight Global is seeking a Case Management Nurse to join their client’s team. The nurse will review and coordinate medical care for injured employees, ensuring treatment is medically necessary and supports timely recovery and return to work.

They will partner with adjusters, providers, employers, and other stakeholders to manage treatment plans, document case activities, drive claim resolution, and maintain compliance with regulatory and quality standards.

Qualifications

• Active Texas Compact RN license.
• 8 years of experience in the Clinical Nursing space.
• Minimum 3 years of experience within Case Management.
• Bachelor’s Degree in Nursing (BSN) or equivalent experience.
• Knowledge of workers’ compensation case management, utilization review, injury management, and return-to-work practices, with expertise in regulatory guidelines, pain management, and behavioral health. CCM Certification (or ability to obtain in the first 6-12 months of employment).

Responsibilities

• Review and coordinate medical care for injured employees to ensure medical necessity and timely recovery.
• Collaborate with adjusters, providers, employers and other stakeholders to manage treatment plans.
• Document case activities and drive claim resolution.
• Maintain compliance with regulatory and quality standards.

Skills

RN License (Texas)

Clinical Nursing

Case Management

W/C Case Mgmt Knowledge

Pain & Behavioral Health knowledge

Education

BSN or equivalent

CCM Certification (or ability to obtain in 6–12 months)

Job description

Job Description

Insight Global is searching for a Case Management Nurse to join their clients team. The ideal candidate will utilize clinical expertise to review and coordinate medical care for injured employees, ensuring treatment is medically necessary, cost-effective, and supports timely recovery and return to work. They will partner with adjusters, providers, employers, and other stakeholders to manage treatment plans, document case activities, drive claim resolution, and maintain compliance with regulatory and quality standards.

Skills and Requirements

• Active Texas Compact RN License
• 8 years of experience in the Clinical Nursing space
• Minimum 3 years of experience within Case Management
• Bachelor’s Degree in Nursing (BSN) or equivalent experience
• Knowledge of workers’ compensation case management, utilization review, injury management, and return-to-work practices, with expertise in regulatory guidelines, pain management, and behavioral health.CCM Certification (or ability to obtain in the first 6-12 months of employment)

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [e-mail].