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Nurse Case Manager at Trean Corporation
Boise, Idaho, United States - Full Time
Skills Needed
Registered Nurse, Clinical Case Management, Medical Cost Projections, Cost Of Care Analyses, Reimbursement Methodologies, Icd 10 Coding, Cpt Coding, Medical Necessity Criteria, Analytical Skills, Communication Skills, Hipaa Compliance, Urac Standards, Ncqa Standards, Utilization Management, Claims Data Analysis, Treatment Plans
Specialization
Candidates must have an active RN license and 3-5+ years of clinical case management experience. They should also possess strong analytical and communication skills, along with knowledge of reimbursement methodologies and compliance standards.
Experience Required
Minimum 5 year(s)
Nurse Practitioner at Theoria Medical
Goshen, Indiana, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Consultation, Electronic Health Records, Communication, Team Collaboration, Time Management, Healthcare Innovation, Technology Integration, Primary Care Services, Rounding, Cme, Malpractice Insurance, Licensure
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Timely attendance and on-site presence during scheduled shifts are imperative.
Nurse Practitioner at Theoria Medical
Sidney, Ohio, United States - Full Time
Skills Needed
Patient Care, Clinical Management, Documentation, Medication Prescription, Communication, Team Collaboration, Time Management, Electronic Health Records, Patient Centered Care, Rounding, Consultation, Flexibility, Cme, Relocation Assistance, Documentation Software
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Timely attendance is imperative, and the provider must be available for consultations with facility nursing staff.
Nurse Practitioner at Theoria Medical
Champaign, Illinois, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Electronic Health Records, Team Collaboration, Time Management
Specialization
The position requires reliable transportation and the ability to be on-site for scheduled shifts. Timely attendance is imperative, and the provider must be available for consultations with facility nursing staff.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
Danville, Illinois, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Electronic Health Record Systems, Team Collaboration, Time Management
Specialization
The position requires reliable transportation and timely attendance for in-person shifts. Experience in managing clinical care and familiarity with electronic health record systems is preferred.
Nurse Practitioner at Theoria Medical
Rantoul, Illinois, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Electronic Health Records, Team Collaboration, Time Management
Specialization
The position requires reliable transportation and the ability to be on-site and on time for scheduled shifts. Experience in managing clinical care in a healthcare setting is preferred.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
Standish, Michigan, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Consultation, Electronic Health Record, Communication, Team Collaboration, Time Management, Technology Proficiency, Healthcare Innovation, Primary Care Services, Rounding, Flexible Scheduling, Patient Relationships, Documentation Systems
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Attendance and punctuality for scheduled shifts are imperative.
Nurse Practitioner at Theoria Medical
Wapakoneta, Ohio, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Time Management, Electronic Health Records, Patient Relationships, Primary Care Services, Rounding, Consultation, Flexibility, Technology Utilization, Quality Improvement
Specialization
The position requires reliable transportation and the ability to be on-site for scheduled shifts. Providers must also be available for consultations with facility nursing staff and complete documentation in the electronic health record system.
Nurse Practitioner at Theoria Medical
Belleville, Illinois, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Electronic Health Records, Time Management, Transportation Reliability, Primary Care Services, Nursing Staff Consultation, Healthcare Innovation, Technology Integration, Cme Participation, Patient Relationships, Documentation Software
Specialization
The position requires reliable transportation and the ability to be on-site for scheduled shifts. Timely attendance and effective communication with nursing staff are essential.
Nurse Case Manager at Bayshore Healthcare Ltd.
, , - Full Time
Skills Needed
Patient Support Programs, Oncology Experience, Customer Service, Communication Skills, Critical Thinking, Problem Solving, Data Integrity, Time Management, Teamwork, Conflict Resolution, Organization, Attention To Detail, Autonomy, Pipeda Familiarity, Technical Skills, Educational Training
Specialization
Candidates must be a graduate of a Registered Nursing Program and hold current registration from a provincial licensing body in Canada. A minimum of 2 years of experience in Patient Support Programs and fluency in English and French are also required.
Experience Required
Minimum 2 year(s)
Nurse Case Manager at Bayshore Healthcare Ltd.
, , - Full Time
Skills Needed
Patient Support Programs, Customer Service, Communication Skills, Problem Solving, Data Integrity, Time Management, Teamwork, Conflict Resolution, Organization, Technical Skills, French Language, Adverse Events Reporting, Quality Management, Confidentiality, Critical Thinking, Multi Tasking
Specialization
Candidates must be a graduate of a Registered Nursing Program and have a minimum of 2 years of experience in Patient Support Programs. Fluency in English and French is required, along with strong technical and interpersonal skills.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at CenterWell
Port Saint Lucie, Florida, United States - Full Time
Skills Needed
Nurse Practitioner, Patient Care, Communication Skills, Team Based Care, Medication Prescription, Chronic Condition Management, Quality Of Care, Medical Record Documentation, Patient Services Coordination, Value Based Care, Interpersonal Relationships, Tb Screening, Medicare Guidelines, Hedis Quality Indicators, Customer Service, Basic Computer Skills
Specialization
Candidates must have 2 to 5 years of experience and a board-certified nurse practitioner license. Excellent communication skills and the ability to adapt to a value-based care setting are essential.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
, , - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Ehr Proficiency, Time Management
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Attendance is imperative, and the provider must be on-site and on time for scheduled shifts.
Nurse Practitioner at Theoria Medical
Toledo, Ohio, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Technology Utilization, Ehr Proficiency
Specialization
The provider must be on-site and punctual for their scheduled shifts, with reliable transportation required. They are expected to engage in daily rounding and be available for consultations with nursing staff.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
Adrian, Michigan, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Electronic Health Records, Time Management, Transportation Reliability, Healthcare Innovation, Technology Utilization, Primary Care Services, Nursing Staff Consultation, Rounding, Patient Relationships, Documentation Systems, Healthcare Expansion
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Attendance and punctuality for scheduled shifts are imperative.
Nurse Practitioner at Theoria Medical
Caro, Michigan, United States - Full Time
Skills Needed
Patient Centered Care, Medication Management, Documentation, Communication, Team Collaboration, Time Management, Clinical Care, Technology Proficiency
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Timely attendance is imperative, and the provider must be on-site for their scheduled shifts.
Nurse Practitioner at Arms Acres Inc
Town of Carmel, New York, United States - Full Time
Skills Needed
Patient Care, Physical Examination, Diagnostic Tests, Therapeutic Procedures, Patient Management, Health Maintenance, Addiction Treatment, Discharge Planning, Counseling, Record Keeping, Compliance, Medical Data Compilation, Progress Notes, Patient Education, Medication Management, Continuity Of Care
Specialization
Candidates must have an RN with MSN and a current NY State Nurse Practitioner license. Experience in detoxification, addiction medicine, or primary care is preferred, along with a DEA License and CPR certification.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
Iron Mountain, Michigan, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Electronic Health Records, Time Management, Patient Relationships, Technology Utilization, Healthcare Innovation, Primary Care Services, Rounding, Consultation, Documentation Systems, Transportation
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Timely attendance and availability for consultations with facility nursing staff are imperative.
Band 5 Staff Nurse at Medico Partners Ltd
Birmingham, England, United Kingdom - Full Time
Skills Needed
Registered Nurse, Palliative Care, Hospice Care, Community Care, Acute Care, Communication Skills, Interpersonal Skills, Compassionate Approach, Patient Centred Care, Multidisciplinary Teamwork, Clinical Documentation, Medication Administration, Emotional Support, Service Improvement, Quality Initiatives
Specialization
Candidates must be a Registered Nurse with an NMC Pin and preferably have experience in palliative, hospice, community, or acute care. Excellent communication skills and a compassionate, patient-centred approach are essential.
Nurse Practitioner at Tufts Medicine
Boston, Massachusetts, United States - Full Time
Skills Needed
Advanced Nursing Knowledge, Patient Care, Patient Assessment, Diagnostic Tests, Treatment Plans, Patient Education, Medication Management, Interpersonal Skills, Analytical Skills, Team Collaboration, Leadership, Professional Development, Performance Improvement, Documentation, Disease Prevention, Health Promotion
Specialization
Candidates must have a Master's degree in Nursing, an Advanced Practice Registered Nurse (APRN) license, and Basic Life Support (BLS) certification. Specialty nursing certification is preferred.
Experience Required
Minimum 2 year(s)
Nurse Case Manager at Trean Corporation
Boise, Idaho, United States -
Full Time

Start Date

Immediate

Expiry Date

14 Apr, 26

Salary

0.0

Posted On

14 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Registered Nurse, Clinical Case Management, Medical Cost Projections, Cost-of-Care Analyses, Reimbursement Methodologies, ICD-10 Coding, CPT Coding, Medical Necessity Criteria, Analytical Skills, Communication Skills, HIPAA Compliance, URAC Standards, NCQA Standards, Utilization Management, Claims Data Analysis, Treatment Plans

Industry

Insurance

Description
Description POSITION SUMMARY: Responsible for assessing, planning, implementing, and coordinating worker’s compensation nurse case management activities. To evaluate the medical and disability needs of an injured worker and facilitate the appropriate and timely medical care and return to work. Act as a liaison with the injured worker, claims adjuster, providers, and healthcare personnel. This role integrates clinical expertise, utilization management standards, and claims data analysis to forecast anticipated medical care and costs, support negotiations, inform reserves, and improve quality and outcomes. KEY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS: Conduct comprehensive clinical assessments, develop medical cost projections and/or summaries for Medicare set asides. Provide telephonic and field-based nurse case management when appropriate, engaging injured workers, families, providers, and payers to remove barriers, improve treatment adherence, and optimize clinical outcomes. Ensure injured workers receive timely, evidence-based medical care that supports their treatment plan and recovery goals. Serve as a trusted clinical resource to claims teams by actively participating in file reviews and delivering expert analysis and actionable insights on medical status, treatment plans, and anticipated care needs—supporting accurate reserving, cost projections, and strategic claims decisions. Perform additional duties and assignments as required to support organizational goals and compliance standards. Requirements MINIMUM QUALIFICATIONS: Active Registered Nurse (RN) license in applicable state(s); multistate compact license preferred. 3–5+ years of clinical case management experience in payer, provider, workers’ compensation, complex care, or catastrophic case management. Demonstrated experience developing medical cost projections or performing cost-of-care analyses (e.g., reserves, settlements, vendor proposals). Working knowledge of reimbursement methodologies (DRG, OPPS, RBRVS, case rates, fee schedules), ICD-10/CPT coding, and medical necessity criteria. Strong analytical and communication skills—able to translate clinical plans into financial models and present findings to clinical and non-clinical stakeholders. Compliance mindset with HIPAA and URAC/NCQA-aligned case management practices.
Responsibilities
The Nurse Case Manager is responsible for assessing and coordinating worker’s compensation nurse case management activities, ensuring timely medical care for injured workers. This role involves acting as a liaison among various stakeholders to facilitate appropriate medical care and return to work.
Nurse Case Manager at Trean Corporation
Boise, Idaho, United States - Full Time
Skills Needed
Registered Nurse, Clinical Case Management, Medical Cost Projections, Cost Of Care Analyses, Reimbursement Methodologies, Icd 10 Coding, Cpt Coding, Medical Necessity Criteria, Analytical Skills, Communication Skills, Hipaa Compliance, Urac Standards, Ncqa Standards, Utilization Management, Claims Data Analysis, Treatment Plans
Specialization
Candidates must have an active RN license and 3-5+ years of clinical case management experience. They should also possess strong analytical and communication skills, along with knowledge of reimbursement methodologies and compliance standards.
Experience Required
Minimum 5 year(s)
Nurse Practitioner at Theoria Medical
Goshen, Indiana, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Consultation, Electronic Health Records, Communication, Team Collaboration, Time Management, Healthcare Innovation, Technology Integration, Primary Care Services, Rounding, Cme, Malpractice Insurance, Licensure
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Timely attendance and on-site presence during scheduled shifts are imperative.
Nurse Practitioner at Theoria Medical
Sidney, Ohio, United States - Full Time
Skills Needed
Patient Care, Clinical Management, Documentation, Medication Prescription, Communication, Team Collaboration, Time Management, Electronic Health Records, Patient Centered Care, Rounding, Consultation, Flexibility, Cme, Relocation Assistance, Documentation Software
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Timely attendance is imperative, and the provider must be available for consultations with facility nursing staff.
Nurse Practitioner at Theoria Medical
Champaign, Illinois, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Electronic Health Records, Team Collaboration, Time Management
Specialization
The position requires reliable transportation and the ability to be on-site for scheduled shifts. Timely attendance is imperative, and the provider must be available for consultations with facility nursing staff.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
Danville, Illinois, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Electronic Health Record Systems, Team Collaboration, Time Management
Specialization
The position requires reliable transportation and timely attendance for in-person shifts. Experience in managing clinical care and familiarity with electronic health record systems is preferred.
Nurse Practitioner at Theoria Medical
Rantoul, Illinois, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Electronic Health Records, Team Collaboration, Time Management
Specialization
The position requires reliable transportation and the ability to be on-site and on time for scheduled shifts. Experience in managing clinical care in a healthcare setting is preferred.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
Standish, Michigan, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Consultation, Electronic Health Record, Communication, Team Collaboration, Time Management, Technology Proficiency, Healthcare Innovation, Primary Care Services, Rounding, Flexible Scheduling, Patient Relationships, Documentation Systems
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Attendance and punctuality for scheduled shifts are imperative.
Nurse Practitioner at Theoria Medical
Wapakoneta, Ohio, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Time Management, Electronic Health Records, Patient Relationships, Primary Care Services, Rounding, Consultation, Flexibility, Technology Utilization, Quality Improvement
Specialization
The position requires reliable transportation and the ability to be on-site for scheduled shifts. Providers must also be available for consultations with facility nursing staff and complete documentation in the electronic health record system.
Nurse Practitioner at Theoria Medical
Belleville, Illinois, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Electronic Health Records, Time Management, Transportation Reliability, Primary Care Services, Nursing Staff Consultation, Healthcare Innovation, Technology Integration, Cme Participation, Patient Relationships, Documentation Software
Specialization
The position requires reliable transportation and the ability to be on-site for scheduled shifts. Timely attendance and effective communication with nursing staff are essential.
Nurse Case Manager at Bayshore Healthcare Ltd.
, , - Full Time
Skills Needed
Patient Support Programs, Oncology Experience, Customer Service, Communication Skills, Critical Thinking, Problem Solving, Data Integrity, Time Management, Teamwork, Conflict Resolution, Organization, Attention To Detail, Autonomy, Pipeda Familiarity, Technical Skills, Educational Training
Specialization
Candidates must be a graduate of a Registered Nursing Program and hold current registration from a provincial licensing body in Canada. A minimum of 2 years of experience in Patient Support Programs and fluency in English and French are also required.
Experience Required
Minimum 2 year(s)
Nurse Case Manager at Bayshore Healthcare Ltd.
, , - Full Time
Skills Needed
Patient Support Programs, Customer Service, Communication Skills, Problem Solving, Data Integrity, Time Management, Teamwork, Conflict Resolution, Organization, Technical Skills, French Language, Adverse Events Reporting, Quality Management, Confidentiality, Critical Thinking, Multi Tasking
Specialization
Candidates must be a graduate of a Registered Nursing Program and have a minimum of 2 years of experience in Patient Support Programs. Fluency in English and French is required, along with strong technical and interpersonal skills.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at CenterWell
Port Saint Lucie, Florida, United States - Full Time
Skills Needed
Nurse Practitioner, Patient Care, Communication Skills, Team Based Care, Medication Prescription, Chronic Condition Management, Quality Of Care, Medical Record Documentation, Patient Services Coordination, Value Based Care, Interpersonal Relationships, Tb Screening, Medicare Guidelines, Hedis Quality Indicators, Customer Service, Basic Computer Skills
Specialization
Candidates must have 2 to 5 years of experience and a board-certified nurse practitioner license. Excellent communication skills and the ability to adapt to a value-based care setting are essential.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
, , - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Ehr Proficiency, Time Management
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Attendance is imperative, and the provider must be on-site and on time for scheduled shifts.
Nurse Practitioner at Theoria Medical
Toledo, Ohio, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Technology Utilization, Ehr Proficiency
Specialization
The provider must be on-site and punctual for their scheduled shifts, with reliable transportation required. They are expected to engage in daily rounding and be available for consultations with nursing staff.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
Adrian, Michigan, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Electronic Health Records, Time Management, Transportation Reliability, Healthcare Innovation, Technology Utilization, Primary Care Services, Nursing Staff Consultation, Rounding, Patient Relationships, Documentation Systems, Healthcare Expansion
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Attendance and punctuality for scheduled shifts are imperative.
Nurse Practitioner at Theoria Medical
Caro, Michigan, United States - Full Time
Skills Needed
Patient Centered Care, Medication Management, Documentation, Communication, Team Collaboration, Time Management, Clinical Care, Technology Proficiency
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Timely attendance is imperative, and the provider must be on-site for their scheduled shifts.
Nurse Practitioner at Arms Acres Inc
Town of Carmel, New York, United States - Full Time
Skills Needed
Patient Care, Physical Examination, Diagnostic Tests, Therapeutic Procedures, Patient Management, Health Maintenance, Addiction Treatment, Discharge Planning, Counseling, Record Keeping, Compliance, Medical Data Compilation, Progress Notes, Patient Education, Medication Management, Continuity Of Care
Specialization
Candidates must have an RN with MSN and a current NY State Nurse Practitioner license. Experience in detoxification, addiction medicine, or primary care is preferred, along with a DEA License and CPR certification.
Experience Required
Minimum 2 year(s)
Nurse Practitioner at Theoria Medical
Iron Mountain, Michigan, United States - Full Time
Skills Needed
Patient Centered Care, Clinical Care Management, Medication Prescription, Documentation, Communication, Team Collaboration, Electronic Health Records, Time Management, Patient Relationships, Technology Utilization, Healthcare Innovation, Primary Care Services, Rounding, Consultation, Documentation Systems, Transportation
Specialization
The position requires reliable transportation and the ability to perform essential functions satisfactorily. Timely attendance and availability for consultations with facility nursing staff are imperative.
Band 5 Staff Nurse at Medico Partners Ltd
Birmingham, England, United Kingdom - Full Time
Skills Needed
Registered Nurse, Palliative Care, Hospice Care, Community Care, Acute Care, Communication Skills, Interpersonal Skills, Compassionate Approach, Patient Centred Care, Multidisciplinary Teamwork, Clinical Documentation, Medication Administration, Emotional Support, Service Improvement, Quality Initiatives
Specialization
Candidates must be a Registered Nurse with an NMC Pin and preferably have experience in palliative, hospice, community, or acute care. Excellent communication skills and a compassionate, patient-centred approach are essential.
Nurse Practitioner at Tufts Medicine
Boston, Massachusetts, United States - Full Time
Skills Needed
Advanced Nursing Knowledge, Patient Care, Patient Assessment, Diagnostic Tests, Treatment Plans, Patient Education, Medication Management, Interpersonal Skills, Analytical Skills, Team Collaboration, Leadership, Professional Development, Performance Improvement, Documentation, Disease Prevention, Health Promotion
Specialization
Candidates must have a Master's degree in Nursing, an Advanced Practice Registered Nurse (APRN) license, and Basic Life Support (BLS) certification. Specialty nursing certification is preferred.
Experience Required
Minimum 2 year(s)