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Field Nurse Case Manager

🔥 1 minute ago

🌲 North Carolina – Remote

infoinfo

⏰ Full Time

🟢 Junior

🟡 Mid-level

đź‘” Manager

Where this job comes from

Posted on Opus Medical's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

Logo of Opus Medical

Opus Medical

201 - 500 employees

🏥 Healthcare

đź’Ľ Consulting

⚖️ Legal

Healthcare • Consulting • Legal

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.

đź“‹ Description

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier • Facilitate appropriate treatment, successful rehabilitation, and return to work • Manage work injuries, MVAs, liability claims, LTD/STD, and other referred services • Follow the Case Management plan and retain accountability for the CM process • Accept and manage referrals assigned by the Director of Case Management • Make initial contacts, schedule assessments, and obtain physician appointment information • Confirm assignments and clarify special handling instructions • Build professional relationships with clients and treat claimants with dignity • Maintain ongoing communication with the Injured Worker, Insured, Carrier, and referral sources • Record data and billing in CaseAnyplace • Submit timely monthly Preliminary, Initial, Progress, and Closing reports • Attend physician appointments and obtain diagnosis, prognosis, treatment plan, rehabilitation length, estimated return-to-work status, and MMI/Full Recovery information • Refer to Vocational Counselors for job analyses when appropriate and approved • Recommend and coordinate IME physicians and attend IMEs • Coordinate transportation as needed • Monitor treatment plans and attend therapy sessions when appropriate • Maintain contact with therapists for updates • Request file transfers to Vocational Counselors when appropriate • Assist Carrier/Insured with modified or regular-duty return-to-work planning • Provide information to Defense Attorneys as appropriate • Promote teamwork with staff members • Maximize accurate, appropriate billable hours toward an 8-hour-per-day monthly target • Maintain licensure and certifications and complete annual training on time • Retain responsibility for tasks delegated to non-clinical staff • Perform additional professional duties as assigned

🎯 Requirements

• Current, unrestricted Registered Nurse state license • Licensed in each state where field case management is provided • Able to perform independent assessments within scope • Practices in a U.S. state/territory allowing independent assessment within scope of practice • Completion of a nursing program and ongoing CE as required • Must obtain and maintain at least one nationally recognized certification (e.g., CCM, CRC, CLNC, CRRN, etc.) within three years of hire or within the state-required timeframe for practice, whichever is less • Two years FTE direct case management for injured workers or two years under supervision preferred • Bilingual ability may be needed for providing translation

🏖️ Benefits

• Competitive pay and bonus program • Health, dental, vision, and retirement plans • Flexible scheduling • Nurse referral program • Continuing education support

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