Telephonic Nurse Case Manager — Return-to-Work Champion

Berkley Medical Management Solutions (a Berkley Company); Schaumburg (IL); On-site; USD 83,000 - 88,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Wellness program

Paid Time Off

401(k) and Profit-Sh Sharing

Job summary

Berkley Medical Management Solutions (BMMS) seeks a Nurse Case Manager to coordinate medical case management and facilitate timely case closure. You will communicate with employers, adjusters, and injured workers, assess treatment utilization, and document progress to drive cost-effective, quality care.

Requires RN license with 2+ years in workers' compensation; CCM preferred. Travel up to 10% domestically; PST business hours; bilingual Spanish/English a plus.

Qualifications

• Graduate of an accredited school of nursing with current RN license.
• 2+ years in workers' compensation and medical case management preferred.
• Bilingual Spanish and English a plus.

Responsibilities

• Coordinate and implement medical case management to facilitate case closure.
• Communicate with employers, adjusters, and injured workers timely and thoroughly.
• Assess medical treatment utilization for cost-effective quality care.
• Review medical records and provide recommendations for case progress to closure.
• Maintain caseloads across varying numbers/territories.
• Obtain and maintain state nursing licensure as required.
• Coordinate home services, DME, IMEs, admissions/discharges, and vocational services.
• Document activities and progress using standard QA practices.
• Attend on-site meetings and participate in special projects as needed.

Skills

Medical case management

Communication skills

Computer skills

Self-motivation

Flexibility

Independent work

Education

RN license

CCM certification preferred

Bachelor of Nursing preferred

RN compact license preferred

Tools

Computer skills

Technology proficiency

Job description

Berkley Medical Management Solutions (BMMS) seeks a Nurse Case Manager to coordinate medical case management and facilitate timely case closure. You will communicate with employers, adjusters, and injured workers, assess treatment utilization, and document progress to drive cost-effective, quality care.

Requires RN license with 2+ years in workers' compensation; CCM preferred. Travel up to 10% domestically; PST business hours; bilingual Spanish/English a plus.