Job Description

RN Case Manager – Workers’ Compensation

Salary Range: $110,000 – $115,000 per year

Location: San Jose / East Bay Area

Field-Based / Local Travel Required

Position Summary

RCM Healthcare Services is recruiting an experienced Field Nurse Case Manager for a direct hire opportunity supporting injured workers throughout the San Jose / East Bay Area.

The Field Nurse Case Manager will coordinate medical treatment and rehabilitation services, attend physician appointments, communicate with healthcare providers and other stakeholders, and help facilitate safe and appropriate return-to-work outcomes. This opportunity offers a smaller, more manageable caseload, allowing the nurse case manager to focus on quality case management and individualized support rather than high file volume.

Responsibilities

Schedule / Shift

Full-time
Field-based throughout the San Jose / East Bay Area
Local travel required
Flexible schedule based on appointments and case needs

Key Duties
- Manage a smaller, manageable caseload of workers’ compensation cases.
- Assess injured workers and coordinate medical treatment and rehabilitation services.
- Attend medical appointments and provide ongoing assessment of the injured worker’s progress.
- Communicate with physicians, therapists, employers, adjusters, insurance representatives, and other stakeholders.
- Coordinate modified-duty and return-to-work recommendations based on medical restrictions.
- Advocate for injured workers and assist them in understanding treatment plans and physician recommendations.
- Prepare monthly reports, case documentation, billing, and required records.
- Maintain timely and professional communication throughout the life of each case.
  
  These duties align with the client’s position, which includes attending medical appointments, coordinating care, working with employers on modified duty, communicating with stakeholders, and maintaining monthly reporting and documentation.
  
  Requirements
  
  Education
  - Nursing degree from an accredited nursing program required
    
    Licenses & Certifications
    - Active California Registered Nurse license required
    - Certified Case Manager (CCM) certification preferred
      
      Experience
      - Previous nurse case management experience required
      - Workers’ compensation or occupational health experience strongly preferred
      - Field case management, rehabilitation, hospital, or related clinical experience preferred
        
        The client’s original requirements include an RN license and prior case management experience, preferably in workers’ compensation or occupational health, with CCM preferred.
        
        Skills
        
        Strong clinical assessment and independent decision-making skills
        
        Excellent communication and documentation skills
        
        Strong organizational and time-management abilities
        
        Ability to work independently and manage a field-based schedule
        
        Ability to communicate professionally with physicians, injured workers, employers, and insurance representatives
        
        Additional Position Highlights
        
        $110,000 – $115,000+ salary
        
        Additional bonus opportunity
        
        Mileage and eligible business-related travel reimbursement
        
        Smaller caseload / fewer files
        
        Flexible field-based environment
        
        Strong training and leadership support
        
        About Us
        
        RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences. With more than 50 years of staffing experience, our team understands the environments you’re stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We’re committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being. RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.
        
        Equal Employment Opportunity & Reasonable Accommodation
        
        RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.
        
        #AC1
        
        #ACP

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