Nurse Case Manager

Ccmsi • Maitland, FL

1d • Hybrid

About The Position

CCMSI is seeking a Nurse Case Manager to manage workers’ compensation files and support safe, timely return to work through high-quality, cost-effective medical care. The position collaborates with injured workers, providers, employers, and internal claim teams to ensure treatment aligns with recovery goals. It is described as a hybrid role, with remote work considered, based in Maitland, Florida; the overview also refers to joining the Albuquerque team. The schedule is Monday through Friday, 8:00 AM–4:30 PM ET. An active RN license is required.

Requirements

• Active RN license.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office (Word, Outlook, Excel).
• Excellent documentation, planning, and organizational skills.
• Ability to manage changing priorities in a professional, compassionate manner.
• Reliable attendance and commitment to client service.

Nice To Haves

• BSN and/or 3–5 years of clinical experience in trauma, rehabilitation, orthopedics, occupational medicine, or workers’ compensation.
• Prior case management experience.
• Working knowledge of medical necessity, MMI, return-to-work planning, and care coordination.
• Familiarity with utilization review, IME processes, and workers’ compensation best practices.
• CCM or CDM.

Responsibilities

• Perform comprehensive case management for assigned workers’ compensation claims.
• Assess claimants’ medical status, work capacity, and treatment needs.
• Develop and document action plans to achieve Maximum Medical Improvement (MMI).
• Collaborate with treating providers, claim adjusters, employers, and, when applicable, attorneys.
• Coordinate and monitor medical treatment; recommend IMEs, second opinions, and site evaluations as appropriate.
• Evaluate treatment plans for necessity and appropriateness.
• Document file activity clearly and in alignment with CCMSI and jurisdictional standards.
• Report measurable cost savings and outcomes.
• Participate in problem-solving discussions to support efficient claim resolution.
• Provide on-site or virtual support at medical appointments, as needed.

Benefits

• Four weeks of PTO and 10 paid holidays in the first year.
• Medical, dental, vision, life, and disability insurance.
• 401(k) and Employee Stock Ownership Plan (ESOP).
• Career development, training programs, and internal mobility.
• Supportive, mission-driven work environment.
• May be eligible for additional compensation or bonuses.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed