Workers' Compensation Case Manager

Ascential Care Partners, LLC•San Jose, CA

2d•$85,000 - $94,000

About The Position

Acrisure is seeking a Telephonic Nurse Case Manager to support workers’ compensation claims through clinical case management and coordination of care. The role works with medical providers, employers, claims professionals, legal partners, and injured workers to facilitate appropriate treatment, promote recovery, and support safe and effective return-to-work outcomes. This is a structured, high-volume, fast-paced position requiring strong organization, adaptability, and the ability to manage multiple cases while maintaining responsiveness, accuracy, and effective communication. Hands-on experience managing workers’ compensation cases is essential. Candidates may be located in any U.S. city but must be able to work Mountain or Pacific Time hours. The posting also states that candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. The base compensation range is $85,000–$94,000. Placement depends on factors including skills, experience, qualifications, location, and internal equity. Acrisure describes itself as a global fintech leader serving businesses and individuals across insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. It reports more than 19,000 colleagues in over 20 countries.

Requirements

Hands-on experience managing workers’ compensation cases.
Strong understanding of workers’ compensation processes, case management practices, and return-to-work coordination.
Active Registered Nurse (RN) license.
Certified Case Manager (CCM) credential.
Multistate license.
California nursing license.
Ability to manage a high-volume caseload in a structured, metrics-driven environment.
Strong communication skills, including 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 and ability to work effectively in a fast-paced environment.
Ability to work Mountain or Pacific Time hours.

Nice To Haves

Bilingual Spanish-speaking skills.
North Carolina QRP license.

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 an assigned caseload independently, prioritizing work and adjusting plans as needed.