Field Nurse Case Manager

🔥 14 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Opus Medical

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 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.

📋 Description

• Coordinate care and communicate pertinent medical information among the Injured Worker, Insured, and Carrier • Facilitate appropriate treatment, successful rehabilitation, and return to work • Deliver efficient, cost-effective communication for work injuries, MVAs, liability claims, LTD/STD, and other referred services • Follow Case Management plan policies and retain accountability for the CM process • Accept assigned referrals and make initial contacts • Schedule initial assessments and obtain upcoming physician appointment dates • Confirm assignments and clarify special handling instructions • Build professional client relationships and treat claimants with dignity • Maintain ongoing communication with the Injured Worker, Insured, and Carrier • 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 Counselor for job analyses when appropriate and approved by Carrier • Recommend and coordinate IME physicians and attend IMEs • Coordinate transportation as needed • Provide translation as needed for bilingual nurses • Monitor treatment plans and attend therapy sessions when appropriate • Maintain contact with therapists for updates • Request file transfers to Vocational Counselor when appropriate • Assist Carrier/Insured with modified or regular-duty return-to-work planning • Provide information to Defense Attorneys as appropriate • Promote teamwork with all staff members • Maximize accurate, appropriate billable hours toward the monthly target of 8 hours/day • Perform additional professional duties as assigned • Retain responsibility for tasks delegated to non-clinical staff

🎯 Requirements

• Current, unrestricted state Registered Nurse 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 • One or more national certifications within 4 years of hire (e.g., CCM, CRC, CLNC, CRRN) preferred • Two years FTE direct case management for injured workers or two years under supervision preferred • Maintain licensure/certifications and complete required annual training on time • Regular local travel of up to 2 hours in the region • Bilingual ability may be needed for translation duties

🏖️ Benefits

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