Job SummaryAs a Nuse Case Manager, you will assess medical information, treatment plans, and functional capacity to support disability claim decisions and help claimants achieve safe and timely return-to-work outcomes. You will partner with claim specialists, physicians, employers, vocational experts, and claimants to evaluate medical conditions, identify barriers to recovery, and recommend appropriate treatment and workplace accommodations. This role also supports disability prevention and return-to-work initiatives by providing medical expertise, education, and consultation to internal teams and employer groups.
Key Responsibilities- Review medical records, treatment plans, and diagnostic information to assess functional capacity and disability duration.
- Consult with claim professionals and healthcare providers to evaluate medical conditions and treatment appropriateness.
- Collaborate with claimants, physicians, employers, and vocational specialists to support recovery and return-to-work plans.
- Identify medical issues, inconsistencies, or limitations that may impact claim eligibility or outcomes.
- Provide medical education, consultation, and disability prevention support to internal teams and employer groups.
Skills and Background You'll NeedEducation: Bachelor's degree in Nursing, Health Sciences, or a related field.
Experience: 4+ years of clinical nursing, hospital, utilization review, quality management, case management, or related healthcare experience.
- Current Registered Nurse (RN) license.
- Experience reviewing medical records and assessing functional capacity, treatment plans, and disability-related medical conditions.
- Knowledge of disability management, return-to-work practices, and medical case management.
- Ability to collaborate effectively with physicians, claim professionals, employers, and other stakeholders.
- Ability to obtain a Certified Case Manager (CCM) or Certified Professional Disability Management (CPDM) designation within two years of hire.
Key Behaviors of a Successful Candidate- Customer Focus: Builds trust through responsive service, thoughtful communication, and a commitment to achieving positive outcomes for claimants and customers.
- Collaboration: Partners effectively with cross-functional teams, healthcare providers, and external stakeholders to solve problems and support return-to-work goals.
Why Join The Standard?We have built an enduring legacy of stability, financial strength and exceptional customer service through the contributions of the service-oriented people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:
- A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions
- An annual incentive bonus plan
- Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually - PTO increases with tenure
- A supportive, responsive management approach and opportunities for career growth and advancement
- Paid parental leave and adoption/surrogacy assistance
- An employee giving program that double matches your donations to eligible nonprofits and schools
In addition to the competitive salary range below, our employee-focused benefits support work-life balance. Learn more about working at The Standard.
- Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on a variety of factors including individual and organizational performance.
The actual compensation for this role will be based on a combination of education and experience, knowledge and skills, position budget, internal equity, and market data.
Salary Range:
$76,250.00 - $111,500.00
Positions will be posted for at least 5 days from original posting date.
