Nurse Case Manager, Workers Compensation

Care Coordination & Case Management
Remote
June 29, 2026
$68,000 - $88,000 / year
Full Time Remote
Application ends: July 31, 2026

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Job Description

Location: Remote (US-based)

We are hiring for a Nurse Case Manager, Workers Compensation with a remote opportunity with a national managed care company. This organization partners with self-insured employers, insurers, and third-party administrators across the country to deliver comprehensive occupational health and disability management solutions. located in the US. This position is a full-time, direct hire opportunity.

Responsibilities:

  • Manage 60-90 active workers compensation claims from injury referral through return-to-work or maximum medical improvement.
  • Conduct assessments evaluating functional capacity, psychosocial barriers, treatment compliance, and return-to-work readiness.
  • Develop individualized case plans collaborating with physicians, specialists, therapists, and vocational rehabilitation consultants.
  • Review medical records and treatment plans against evidence-based guidelines to identify gaps and delays.
  • Facilitate independent medical examinations and functional capacity evaluations, synthesizing findings into case strategy recommendations.
  • Coordinate authorizations for specialist referrals, surgery, durable medical equipment, home health, and pharmacy management.
  • Partner with employers developing modified duty, transitional work, and return-to-work programs aligned to job functions.
  • Serve as primary liaison between injured workers, adjusters, employers, counsel, and providers, facilitating timely communication.
  • Identify psychosocial and cultural barriers to recovery, connecting injured workers with behavioral health and support resources.

Qualifications:

  • Maintain active, unrestricted RN license; obtain multi-state compact licensure or additional licenses as needed
  • Demonstrate 3+ years clinical nursing experience; 2+ years workers compensation case management (telephonic or field)
  • Obtain or hold CCM, CRRN, or COHN certifications (CCM strongly preferred)
  • Demonstrate clinical background in orthopedics, occupational health, rehabilitation, emergency medicine, or neurology
  • Apply working knowledge of multi-state WC jurisdiction, ODG/ACOEM guidelines, return-to-work program design
  • Demonstrate proficiency with claims management platforms (Juris, Guidewire, Majesco); ensure documentation accuracy and turnaround compliance

Schedule:

  • Full-time, Monday through Friday
  • Fully remote, US-based candidates only
  • Standard business hours with schedule flexibility

Salary Range: The salary range for this position is approximately $68,000 – $88,000 annually ($32.69 – $42.31 per hour), based on experience and qualifications.

Interview Process:

  • Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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