Workers' Compensation Case Manager

Acrisure•Costa Mesa, CA

12h•Remote

About The Position

The role can be fully remote from anywhere within the United States; however, candidates must be available to work during Pacific Time business hours. About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Job Summary Acrisure 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. Candidates must have hands-on experience managing workers’ compensation cases, as this is essential to successfully perform in this position. 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.

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
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

Nice To Haves

Bilingual (Spanish speaking) skills are highly beneficial
Compact RN license beneficial
Additional state licenses, including CA, NY, MA, IL, OR, NV, MI, HI, MD, or DC, would be useful

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