Nurse Case Manager
The Standard • Portland, OR3d • $76,250 - $111,500
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Nurse Case Manager
The Standard•Portland, OR
•$76,250 - $111,500
About The Position
As a Nurse Case Manager, you will assess medical information, treatment plans, and functional capacity to support disability claim decisions and help claimants achieve safe and timely return-to-work outcomes. You will partner with claim specialists, physicians, employers, vocational experts, and claimants to evaluate medical conditions, identify barriers to recovery, and recommend appropriate treatment and workplace accommodations. This role also supports disability prevention and return-to-work initiatives by providing medical expertise, education, and consultation to internal teams and employer groups.
Requirements
- Bachelor's degree in Nursing, Health Sciences, or a related field.
- 4+ years of clinical nursing, hospital, utilization review, quality management, case management, or related healthcare experience.
- Current Registered Nurse (RN) license.
- Experience reviewing medical records and assessing functional capacity, treatment plans, and disability-related medical conditions.
- Knowledge of disability management, return-to-work practices, and medical case management.
- Ability to collaborate effectively with physicians, claim professionals, employers, and other stakeholders.
- Ability to obtain a Certified Case Manager (CCM) or Certified Professional Disability Management (CPDM) designation within two years of hire.
Nice To Haves
- Customer Focus: Builds trust through responsive service, thoughtful communication, and a commitment to achieving positive outcomes for claimants and customers.
- Collaboration: Partners effectively with cross-functional teams, healthcare providers, and external stakeholders to solve problems and support return-to-work goals.
Responsibilities
- Review medical records, treatment plans, and diagnostic information to assess functional capacity and disability duration.
- Consult with claim professionals and healthcare providers to evaluate medical conditions and treatment appropriateness.
- Collaborate with claimants, physicians, employers, and vocational specialists to support recovery and return-to-work plans.
- Identify medical issues, inconsistencies, or limitations that may impact claim eligibility or outcomes.
- Provide medical education, consultation, and disability prevention support to internal teams and employer groups.
Benefits
- medical, dental, vision
- 401(k) plan with matching company contributions
- An annual incentive bonus plan
- Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually
- Paid parental leave and adoption/surrogacy assistance
- An employee giving program that double matches your donations to eligible nonprofits and schools
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Job Search Resources
Career Resources
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