Telephonic RN Case Manager: Coordinated Care & Outcomes

Rising Medical Solutions; United States; Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Profit sharing

401k matching

Generous time off

Career growth opportunities

Relaxed work environment

Top Workplace recognition

Job summary

Rising Medical Solutions, LLC seeks a Telephonic Nurse Care Manager to coordinate care for high-risk patients and direct treatment plans. You will discuss claims, benefits, and eligibility while managing resources with patients, families, and professionals.

Responsibilities include evaluating plans, documenting progress, and returning individuals to work through evidence-based strategies. RN status preferred, with strong MS Office skills and a collaborative approach.

Qualifications

• RN license preferred (compact state)
• California RN license a plus
• At least 3 years of TCM experience preferred
• Experience with Workers' Compensation or Disability Management
• Strong computer skills (Microsoft Office)
• Excellent oral and written communication skills with a customer-service focus
• Ability to work autonomously and in a team
• Attention to confidentiality and data protection

Responsibilities

• Coordinate care for high-risk patients and direct treatment plans
• Discuss claims, benefits, and eligibility with stakeholders
• Assess injury severity and plan return-to-work strategies
• Maintain thorough documentation of case management activities
• Set priorities and manage multiple cases in a fast-paced environment
• Prepare summary reports from collected data

Skills

TCM experience

Workers' compensation

Customer service

Time management

Communication skills

Microsoft Suite

Education

Associate degree

BSN

CCM certification

Job description

Rising Medical Solutions, LLC seeks a Telephonic Nurse Care Manager to coordinate care for high-risk patients and direct treatment plans. You will discuss claims, benefits, and eligibility while managing resources with patients, families, and professionals.

Responsibilities include evaluating plans, documenting progress, and returning individuals to work through evidence-based strategies. RN status preferred, with strong MS Office skills and a collaborative approach.