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RN Case Manager - Workers Compensation

RCM Healthcare Services • Full-time • Fremont, CA, US • 6d ago

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RN Case Manager – Workers’ Compensation
Salary Range: $110,000 – $115,000 per year
Location: San Jose / East Bay Area
Field-Based / Local Travel Required
Position Summary
RCM Healthcare Services is recruiting an experienced Field Nurse Case Manager for a direct hire opportunity supporting injured workers throughout the San Jose / East Bay Area.
The Field Nurse Case Manager will coordinate medical treatment and rehabilitation services, attend physician appointments, communicate with healthcare providers and other stakeholders, and help facilitate safe and appropriate return-to-work outcomes. This opportunity offers a smaller, more manageable caseload, allowing the nurse case manager to focus on quality case management and individualized support rather than high file volume.
Responsibilities
Schedule / Shift

Full-time
Field-based throughout the San Jose / East Bay Area
Local travel required
Flexible schedule based on appointments and case needs

Key Duties

Manage a smaller, manageable caseload of workers’ compensation cases.
Assess injured workers and coordinate medical treatment and rehabilitation services.
Attend medical appointments and provide ongoing assessment of the injured worker’s progress.
Communicate with physicians, therapists, employers, adjusters, insurance representatives, and other stakeholders.
Coordinate modified-duty and return-to-work recommendations based on medical restrictions.
Advocate for injured workers and assist them in understanding treatment plans and physician recommendations.
Prepare monthly reports, case documentation, billing, and required records.
Maintain timely and professional communication throughout the life of each case.

These duties align with the client’s position, which includes attending medical appointments, coordinating care, working with employers on modified duty, communicating with stakeholders, and maintaining monthly reporting and documentation.
Requirements
Education

Nursing degree from an accredited nursing program required

Licenses & Certifications

Active California Registered Nurse license required
Certified Case Manager (CCM) certification preferred

Experience

Previous nurse case management experience required
Workers’ compensation or occupational health experience strongly preferred
Field case management, rehabilitation, hospital, or related clinical experience preferred

The client’s original requirements include an RN license and prior case management experience, preferably in workers’ compensation or occupational health, with CCM preferred.
Skills

Strong clinical assessment and independent decision-making skills
Excellent communication and documentation skills
Strong organizational and time-management abilities
Ability to work independently and manage a field-based schedule
Ability to communicate professionally with physicians, injured workers, employers, and insurance representatives

Additional Position Highlights