Workers' Compensation Case Manager

Job Description

The role can be fully remote from reputed company reputed company the United States; however, candidates must be available to work during Pacific Time business hours. About reputed company A global fintech leader, reputed company empowers millions of ambitious businesses and individuals with the right solutions to grow boldly reputed company. Bringing cutting-edge technology and top-tier reputed company support together, we connect clients with customized solutions across a reputed company of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the last twelve years, reputed company has grown in reputed company from $38 reputed company to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. reputed company was reputed company on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we reputed company our teams to work at the highest reputed company possible. Job Summary reputed company 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 reputed company. Candidates must have hands-on experience managing workers’ compensation cases, as this is essential to successfully reputed company in this position. This is a position operating in a structured, high volume, fast paced environment. reputed company in this role requires strong organization, adaptability, and the ability to manage multiple cases while maintaining responsiveness, accuracy, and effective communication.

Responsibilities

Manage telephonic case management for workers’ compensation claims, including assessment, care coordination, and ongoing case reputed company Collaborate with injured workers, reputed company providers, employers, claims representatives, and legal partners to support treatment plans and recovery reputed company Evaluate treatment plans and reputed company guidance based on clinical knowledge and case management best practices Facilitate return to work planning and monitor reputed company toward recovery goals Maintain frequent telephonic and written communication with reputed company involved parties throughout the life of the claim reputed company for appropriate and cost effective care while supporting positive health reputed company Maintain accurate, timely, and compliant documentation of reputed company case activity Identify barriers to recovery and implement strategies to improve reputed company 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 reputed company and sensitive conversations Proficiency with reputed company 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 reputed company with the ability to work effectively in a fast paced environment Bilingual (Spanish speaking) skills are highly beneficial Education and Licenses Active Registered Nurse (RN) license required One of the following required: CCM, CDMS, COHN, or CRRN Associate or bachelor’s degree in nursing or a reputed company clinical field Compact RN license beneficial Additional state licenses, including CA, NY, MA, IL, OR, NV, MI, HI, MD, or DC, would be useful Pay Details: The reputed company compensation reputed company for this position is $75,000 - $90,000. This reputed company reflects reputed company's good faith estimate at the time of this posting. Placement reputed company the reputed company 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 reputed company to support collaboration, team leadership, and cross-functional partnership. Why Join Us: At reputed company, we’re building more than a business, we’re building a community where people can grow, reputed company, and reputed company 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, reputed company has pledged more than $22 reputed company through its partnerships with reputed company Helen DeVos Children's Hospital in Grand Rapids, Michigan, reputed company Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, reputed company. Employee Benefits We also offer our employees a comprehensive suite of benefits and perks, including: Physical Wellness: Comprehensive medical insurance, dental insurance, and reputed company 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 reputed company 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 reputed company available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. reputed company is an Equal Opportunity Employer. We consider reputed company applicants without regard to race, reputed company, religion, sex, national reputed company, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@reputed company.com. Final candidates will be required to complete post-offer verification processes reputed company to the role and in accordance with applicable laws. California Residents: Learn more about our privacy practices for applicants by visiting the reputed company California Applicant Privacy Policy. Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. Welcome, your new opportunity awaits you. Apply To This Job