Field Nurse Case Manager

🕒 March 18

🌲 North Carolina – Remote

infoinfo

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

Where this job comes from

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

First seen by Remote Rocketship March 18

Still open on Opus Medical's site. Checked Yesterday.

Logo of Opus Medical

Opus Medical

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 all policies and procedures in the Case Management plan and retain accountability for the CM process • Accept referrals assigned by the Director of Case Management • Make initial contacts, schedule initial assessments, and obtain physician appointment dates • Confirm assignments with referral sources 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 per monthly target of 8 hours/day • 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 • 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 • Complete required annual training on time • Bilingual ability may be needed for 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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