Workers' Compensation Case Manager

Ascential Care Partners, LLC; San Jose (CA); On-site; USD 85,000 - 94,000; Full time

Benefits offered by this job

Medical insurance

Dental & Vision insurance

401(k) Retirement plan

HSA & FSA options

Paid time off

Job summary

Acrisure is seeking a Telephonic Nurse Case Manager to support workers’ compensation claims through clinical case management and coordination of care. This role collaborates with medical providers, employers, claims professionals, and injured workers to facilitate appropriate treatment, promote recovery, and support safe return to work outcomes.

Candidates must have hands-on workers’ compensation experience and be able to manage a high-volume caseload in a structured, fast-paced environment.

Qualifications

• Active RN license required.
• CCM certification required.
• California nursing license (multistate) preferred.

Responsibilities

• Manage telephonic case management for workers’ compensation claims.
• Coordinate care with healthcare providers, employers, claims staff, and injured workers.
• Evaluate treatment plans and provide guidance based on clinical knowledge and best practices.
• Facilitate return-to-work planning and monitor progress toward recovery goals.
• Maintain compliant documentation and HIPAA adherence throughout the claim lifecycle.
• Advocate for cost-effective, high-quality care.
• Handle a high-volume caseload independently and prioritize tasks.

Skills

Strong communication

Independent work

Bilingual Spanish (beneficial)

Microsoft Office proficiency

Education

Active RN license

CCM certification

Multistate California Nursing License

Tools

Microsoft Office

Job description

Job Description About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.

Job Summary

Acrisure is seeking a Telephonic Nurse Case Manager to support workers’ compensation claims through clinical case management and coordination of care. This role works closely with medical providers, employers, claims professionals, and injured workers to facilitate appropriate treatment, promote recovery, and support safe and effective return to work outcomes. This is a position operating in a structured, high volume, fast paced environment. Success in this role requires strong organization, adaptability, and the ability to manage multiple cases while maintaining responsiveness, accuracy, and effective communication. Candidates must have hands‑on experience managing workers’ compensation cases, as this is essential to successfully perform in this position. Candidates can be in any US city but must be able to work Mountain or Pacific Time hours.

Responsibilities

• Manage telephonic case management for workers’ compensation claims, including assessment, care coordination, and ongoing case oversight
• Collaborate with injured workers, healthcare providers, employers, claims representatives, and legal partners to support treatment plans and recovery outcomes
• Evaluate treatment plans and provide guidance based on clinical knowledge and case management best practices
• Facilitate return to work planning and monitor progress toward recovery goals
• Maintain frequent telephonic and written communication with all involved parties throughout the life of the claim
• Advocate for appropriate and cost effective care while supporting positive health outcomes
• Maintain accurate, timely, and compliant documentation of all case activity
• Identify barriers to recovery and implement strategies to improve outcomes
• Ensure compliance with regulatory requirements, company standards, and HIPAA guidelines
• Manage assigned caseload independently, prioritizing work and adjusting plans as needed

Requirements

• Strong understanding of workers’ compensation processes, case management practices, and return to work coordination
• Ability to manage a high volume caseload in a structured, metrics driven environment
• Strong communication skills with the ability to navigate complex and sensitive conversations
• Proficiency with Microsoft Office and ability to work effectively in a remote setting using multiple systems and screens
• Demonstrated ability to work independently while maintaining productivity and quality standards
• Strong organizational skills and ability to manage competing priorities
• Positive, adaptable mindset with the ability to work effectively in a fast paced environment
• Bilingual (Spanish speaking) skills are highly beneficial

Required Licenses

• Active Registered Nurse (RN) license
• Certified Case Manager (CCM)
• Multistate License California Nursing License

Preferred License

North Carolina QRP #LI-JP3

Pay Details

The base compensation range for this position is $85,000 - $94,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity. Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us

At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children’s Hospital in Valhalla, New York.

Employee Benefits

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

... and so much more!

This list is not exhaustive of all available benefits.

Eligibility and waiting periods may apply to certain offerings.

Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer.

We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Applicants may request reasonable accommodation by contacting [e-mail].

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.