Job DescriptionJob SummaryAcrisure is seeking a Telephonic Nurse Case Manager to support workers' compensation claims through clinical case management and coordination of care. This role works closely with medical providers, employers, claims professionals, and injured workers to facilitate appropriate treatment, promote recovery, and support safe and effective return to work outcomes.
This is a position operating in a structured, high volume, fast paced environment. Success in this role requires strong organization, adaptability, and the ability to manage multiple cases while maintaining responsiveness, accuracy, and effective communication.
Candidates must have hands-on experience managing workers' compensation cases, as this is essential to successfully perform in this position.This position is fully remote; however, candidates must be available to work a consistent Pacific Time schedule of 8:00 a.m. to 5:00 p.m.Responsibilities:- Manage telephonic case management for workers' compensation claims, including assessment, care coordination, and ongoing case oversight
- Collaborate with injured workers, healthcare providers, employers, claims representatives, and legal partners to support treatment plans and recovery outcomes
- Evaluate treatment plans and provide guidance based on clinical knowledge and case management best practices
- Facilitate return to work planning and monitor progress toward recovery goals
- Maintain frequent telephonic and written communication with all involved parties throughout the life of the claim
- Advocate for appropriate and cost effective care while supporting positive health outcomes
- Maintain accurate, timely, and compliant documentation of all case activity
- Identify barriers to recovery and implement strategies to improve outcomes
- Ensure compliance with regulatory requirements, company standards, and HIPAA guidelines
- Manage assigned caseload independently, prioritizing work and adjusting plans as needed
Requirements:- Strong understanding of workers' compensation processes, case management practices, and return to work coordination
- Ability to manage a high volume caseload in a structured, metrics driven environment
- Strong communication skills with the ability to navigate complex and sensitive conversations
- Proficiency with Microsoft Office and ability to work effectively in a remote setting using multiple systems and screens
- Demonstrated ability to work independently while maintaining productivity and quality standards
- Strong organizational skills and ability to manage competing priorities
- Positive, adaptable mindset with the ability to work effectively in a fast paced environment
- Bilingual (Spanish speaking) skills are highly beneficial
Education and Licenses- Active Registered Nurse (RN) license required
- One of the following required: CCM, CDMS, COHN, or CRRN
- Associate or bachelor's degree in nursing or a related clinical field
- Compact RN license beneficial
- Additional state licenses, including CA, NY, MA, IL, OR, NV, MI, HI, MD, or DC, would be useful
Pay Details:
The base compensation range for this position is $75,000 - $90,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.Employee BenefitsWe also offer our employees a comprehensive suite of benefits and perks, including:
- Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
- Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
- Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
- Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
- ... and so much more!
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.
