Director of Nurse Case Management

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Opus Medical

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Opus Medical is a physician-led medical case management company that provides a high-touch, concierge approach to work-injury recovery for employers, payors, and injured workers. The firm delivers physician oversight, field and telephonic case management, RN record review, early medical assessments, life care planning, network support (including IME and peer review), and value-added services such as medical cost projection and Medicare set-asides. Opus emphasizes evidence-based care, faster return-to-work, lower total claim costs, and improved worker satisfaction through personalized clinical coordination and a technology-enabled system called Maestro.

📋 Description

• Provide leadership and direction to Case Managers and Supervisors • Ensure day-to-day operations align with company and customer guidelines • Oversee the assignment of referrals and adherence to Opus Medical guidelines • Conduct regular reviews of departmental reports, invoices, and performance metrics • Uphold compliance with policies regarding personal health information • Manage human resources matters within the department • Provide clinical oversight and direction for case management activities • Participate in marketing and client support activities as needed

🎯 Requirements

• Active Registered Nurse (RN) license in good standing required • A Bachelor of Science in Nursing (BSN) is required • A minimum of 5-7 years of clinical nursing experience is required • A minimum of 3-5 years in case management • Supervisory or leadership experiences is preferred • Strong working knowledge of case management principles, workers’ compensation, and/or managed care options • Proficiency in case management platforms and Microsoft is expected • Thorough understanding of HIPAA and all applicable regulations governing personal health information (PHI and IIHI)

🏖️ Benefits

• Competitive base salary + performance-based bonus • Comprehensive benefits package (healthcare, 401k, PTO, etc.) • Professional development and coaching opportunities