Medical Case Manager

🚨 Now Hiring: RN Case Manager – Northcentral Los Angeles County, CA 🚨

💻 Remote position + local field travel
💰 Salary: Competitive & commensurate with experience
🎉 Quarterly Bonus Opportunities
📚 Free CEUs for licenses & certificates
💳 License & Certification Reimbursement

We’re looking for an RN with a passion for case management to join our team!
✨ RN degree required
✨ National Certification preferred (CCM, CRC, COHN, CRRN)
✨ Workers’ Comp Case Management experience a plus

📍 Location Requirement
Candidates must reside in the North Central Los Angeles County region and surrounding service areas, with the ability to travel locally for field-based case management responsibilities. Preferred locations include Santa Clarita, Valencia, Burbank, Tarzana, Simi Valley, Stevenson Ranch, Canyon Country, Newhall, Granada Hills, Northridge, and nearby communities.

✅ Your Impact: You’ll provide effective case management services in a cost‑effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You’ll support patients/employees receiving benefits under insurance lines including Workers’ Compensation, Group Health, Liability, Disability, and Care Management.

This is your chance to grow your career, earn great rewards, and enjoy true work-life balance.

👉 Apply today and make an impact in the community!

Responsibilities

• Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
• Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW.
• Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.
• May perform job site evaluations/summaries to facilitate case management process.
• Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians.
• Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker/disabled individual.
• May obtain records from the branch claims office.