Nurse Case Manager

Nurse Case Manager – Workers’ Compensation

Location: Maitland, FL Work Arrangement: Hybrid preferred, remote consideredSchedule: Monday–Friday, 8:00 AM–4:30 PM ETSalary: $65,000-$70,000 annuallyLicensing Requirement: Active RN license required

Build Your Career With Purpose at CCMSI

At CCMSI, we don’t just manage claims—we support recovery. As a leading Third Party Administrator and a certified Great Place to Work®, we offer manageable caseloads, employee ownership, and a team-focused environment where your clinical expertise can make a meaningful impact.

About the Role

We’re seeking a Nurse Case Manager to join our growing Albuquerque team. In this role, you’ll manage workers’ compensation files with a focus on providing high-quality, cost-effective medical care that leads to safe and timely return to work. You’ll collaborate with injured workers, providers, employers, and internal claim teams to ensure treatment aligns with established recovery goals.

This is a great opportunity for a registered nurse ready to apply clinical skills in a dynamic, outcomes-driven setting with growth potential.

Responsibilities

• What You’ll Do
• Perform comprehensive case management for assigned workers’ compensation claims
• Assess claimants’ medical status, work capacity, and treatment needs
• Develop and document action plans to achieve Maximum Medical Improvement (MMI)
• Collaborate with treating providers, claim adjusters, employers, and—when applicable—attorneys
• Coordinate and monitor medical treatment; recommend IMEs, second opinions, and site evaluations as appropriate
• Evaluate treatment plans for necessity and appropriateness
• Document all file activity clearly and in alignment with CCMSI and jurisdictional standards
• Report measurable cost savings and outcomes
• Participate in problem-solving discussions to support efficient claim resolution
• Provide on-site or virtual support at medical appointments, as needed

Qualifications

What You’ll Bring

Required

• Active RN license
• Strong verbal and written communication skills
• Proficiency in Microsoft Office (Word, Outlook, Excel)
• Excellent documentation, planning, and organizational skills
• Ability to manage changing priorities in a professional, compassionate manner
• Reliable attendance and commitment to client service

Preferred

• BSN and/or 3–5 years of clinical experience in trauma, rehab, ortho, occupational medicine, or workers’ comp
• Prior case management experience
• Working knowledge of medical necessity, MMI, RTW planning, and care coordination
• Familiarity with utilization review, IME processes, and WC best practices
• CCM
• CDM
• Performance Metrics
• Cost savings and documented outcomes
• Timely coordination and resolution of claims
• Successful achievement of MMI and RTW
• Compliance with documentation and quality standards

What We Offer

• 4 weeks PTO + 10 paid holidays in your first year
• Medical, Dental, Vision, Life & Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)
• Career development, training programs, and internal mobility
• Supportive, mission-driven work environment

Our Core Values

• At CCMSI, we believe in doing what’s right—for our clients, coworkers, and ourselves. Our team members are guided by values of:
• Integrity, trust, and respect
• Passionate client service
• Continuous improvement
• Team collaboration

Leadership at Every Level

Compensation & ComplianceThe posted wage reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual pay will be based on experience, qualifications, and internal equity. This role may also be eligible for additional compensation or bonuses.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.

ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

If you’re ready to make a real difference in the lives of injured workers while advancing your own career, we’d love to meet you.

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