Telephonic Nurse Care Manager - High-Risk Case Coordination

Rising Medical Solutions, LLC; Oregon; Hybrid; USD 75,000 - 95,000; Full time

Benefits offered by this job

Competitive salary

401k matching

Generous time off

Career growth opportunities

Top Workplace recognition

Job summary

Rising Medical Solutions, LLC is seeking a Telephonic Nurse Care Manager to coordinate care for high-risk individuals. You will evaluate patients, direct treatment plans, discuss claims, benefits, and eligibility, and manage resources with patients, families, and clinicians.

The role requires an RN license (compact state preferred), strong computer skills, and 3+ years of TCM experience, with a focus on confidentiality, prioritization, and teamwork. BSN/CCM credentials are a plus.

Qualifications

• RN license required or preferred with compact state recognition.
• BSN or CCM credentials are a plus.
• Strong communication, confidentiality and professional ethics.
• Experience in workers’ compensation or disability management desired.
• Proficient in Microsoft Office and general computer skills.

Responsibilities

• Coordinate all aspects of patient care for high-risk individuals.
• Evaluate patients and direct treatment plans and resources.
• Discuss claims, benefits, and eligibility with stakeholders.
• Document progress and maintain case files and reports.
• Develop return-to-work plans based on functional abilities.

Skills

Communication skills

Time management

Organizational skills

Customer service

Conflict resolution

Attention to detail

Autonomy and teamwork

Education

Associate degree

BSN preferred

CCM certification a plus

Tools

Microsoft Office

Outlook

Excel

Job description

Rising Medical Solutions, LLC is seeking a Telephonic Nurse Care Manager to coordinate care for high-risk individuals. You will evaluate patients, direct treatment plans, discuss claims, benefits, and eligibility, and manage resources with patients, families, and clinicians.

The role requires an RN license (compact state preferred), strong computer skills, and 3+ years of TCM experience, with a focus on confidentiality, prioritization, and teamwork. BSN/CCM credentials are a plus.