Opus Medical is seeking a Field Nurse Case Manager to coordinate care and communication among injured workers, insured parties, and carriers to facilitate treatment, rehabilitation, and return-to-work outcomes. This is a remote, field-based position requiring regular local travel within the Palm Bay/Melbourne/Titusville, Florida region.
What You'll Do
- Follow all policies/procedures in the Case Management (CM) plan; retain accountability for the CM process.
- Accept referrals as assigned by the Director of Case Management.
- Make initial contacts per CM plan; schedule initial assessment; obtain date of next physician appointment.
- Confirm assignment with referral source; clarify special handling instructions.
- Build professional relationships with clients; treat claimants with dignity.
- After physician appointments, contact Carrier and Insured per protocol; maintain ongoing communication with Injured Worker, Insured, and Carrier.
- Record data and billing in CaseAnyplace; submit timely monthly reports (Preliminary, Initial, Progress, Closing).
- Attend physician appointments; obtain diagnosis, prognosis, treatment plan, rehab length, estimated RTW (modified/regular duty), and MMI/Full Recovery as appropriate.
- Refer to Vocational Counselor for job analyses (modified/regular duty) when appropriate and approved by Carrier.
- Recommend IME physicians; coordinate and attend IMEs.
- Coordinate transportation as needed.
- Provide translation as needed (for bilingual nurses).
- Monitor treatment plan; attend therapy sessions when appropriate; maintain contact with therapists for updates.
- Request transfer of files to Vocational Counselor when appropriate (LMS, Voc Rehab).
- Assist Carrier/Insured with RTW planning (modified or regular duty).
- Provide information to Defense Attorneys as appropriate.
- Promote teamwork with all staff members.
- Maximize accurate, appropriate billable hours per monthly target (8 hrs/day).
- Maintain licensure/certifications; complete required annual training on time.
- Perform additional professional duties as assigned.
- Retain responsibility for tasks delegated to non-clinical staff.
What We're Looking For
- Registered Nurse: Current, unrestricted state license; licensed in each state where field case management is provided; able to perform independent assessments within scope.
- Discipline Eligibility: Practices in a U.S. state/territory allowing independent assessment within scope of practice.
- Education: Completion of a nursing program and ongoing CE as required.
Nice to Have
- Certification: One or more national certifications within 4 years of hire (e.g., CCM, CRC, CLNC, CRRN) preferred.
- Experience: Two years FTE direct case management for injured workers or two years under supervision preferred.
Technical Stack
- CaseAnyplace
Team & Environment
Reports to the Director of Case Management.
Benefits & Compensation
- Competitive pay and bonus program
- Health, dental, vision, and retirement plans
- Flexible scheduling
- Nurse referral program
- Continuing education support
Compensation includes competitive pay and a bonus program.
Work Mode
Remote, field-based role with regular local travel of up to 2 hours in the Palm Bay, Melbourne, Titusville, Florida region. Flexible scheduling available.
Opus Medical is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
