Telephonic Nurse Case Manager: Care Coordination & Return-to-Work

Rising Medical Solutions, LLC; California; Remote; USD 85,000 - 105,000; Full time

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 and eligibility, and manage resources in collaboration with families and healthcare professionals.

Requirements include an RN license (compact state preferred; California license a plus), strong Microsoft Office skills, and at least 3 years of TCM experience.

Qualifications

• RN license preferred in a compact state.
• California RN license a plus.
• Strong computer skills required – Microsoft Suite (Outlook, Excel, Word, etc.).
• At least 3 years of TCM experience preferred.
• Experience with Workers’ Compensation or Disability Management.
• Ability to maintain confidentiality of information, policies, and procedures.
• Ability to set priorities and work autonomously and as part of a team.
• Demonstrated sensitivity to culturally diverse people and situations.

Responsibilities

• Coordinate all aspects of patient care for high-risk individuals.
• Evaluate patients and direct treatment plans; discuss claims, benefits, and eligibility.
• Manage resources and collaborate with patients, families, and other medical professionals.
• Document ongoing progress of all case management activity and maintain files.
• Assess injury severity and return-to-work plans to manage future medical exposure.

Skills

Microsoft Suite

Time management

Communication skills

Customer-service orientation

Autonomy

Conflict resolution

Education

RN license

Compact state RN license

California RN license (a plus)

Nursing license (registered nurse)

Tools

Microsoft Outlook

Microsoft Excel

Microsoft Word

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 and eligibility, and manage resources in collaboration with families and healthcare professionals.

Requirements include an RN license (compact state preferred; California license a plus), strong Microsoft Office skills, and at least 3 years of TCM experience.