Nurse Case Manager

Berkshire Hathaway GUARD Insurance Companies•Conshohocken, PA

8d•Hybrid

About The Position

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company’s success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Are you a passionate and experienced Registered Nurse looking to make a meaningful impact on patient outcomes? We are seeking a motivated Nurse Case Manager to join our dynamic team and help support injured workers through high‑quality, cost‑effective care management. As a Nurse Case Manager, you will play a pivotal role in coordinating care, guiding treatment plans, and ensuring the best possible outcomes for injured workers. Your clinical expertise, communication skills, and ability to manage complex cases will directly influence the success of our claims and the well‑being of the individuals we serve.

Requirements

Active RN license
2+ years of clinical experience (case management, rehab, ortho, or utilization review preferred)
Strong communication and interpersonal skills
Ability to prioritize, work independently, and manage a fast‑paced caseload
Excellent time‑management, organizational, and analytical skills
Proficiency in Microsoft Word and Outlook

Responsibilities

Coordinate care and guide injured workers through the treatment process
Communicate regularly with medical providers and document clinical updates
Facilitate timely and appropriate return‑to‑work plans
Assign field case managers and manage hospital discharge planning
Monitor treatment progress and intervene when cases need additional support
Serve as a medical resource to claims adjusters
Review and process pharmacy prior authorization requests in ScriptAdvisor

Benefits

Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!