RN Case Manager - Workers' Compensation

• RN Case Manager – Workers’ Compensation
• Salary Range: $110,000 – $115,000 per year
• Location: San Jose / East Bay Area
• Field-Based / Local Travel Required

Position Summary

RCM Healthcare Services is recruiting an experienced Field Nurse Case Manager for a direct hire opportunity supporting injured workers throughout the San Jose / East Bay Area.

The Field Nurse Case Manager will coordinate medical treatment and rehabilitation services, attend physician appointments, communicate with healthcare providers and other stakeholders, and help facilitate safe and appropriate return-to-work outcomes. This opportunity offers a smaller, more manageable caseload , allowing the nurse case manager to focus on quality case management and individualized support rather than high file volume. Responsibilities Schedule / Shift

• Full-time

• Field-based throughout the San Jose / East Bay Area

• Local travel required

• Flexible schedule based on appointments and case needs

Key Duties

• Manage a smaller, manageable caseload of workers’ compensation cases.

• Assess injured workers and coordinate medical treatment and rehabilitation services.

• Attend medical appointments and provide ongoing assessment of the injured worker’s progress.

• Communicate with physicians, therapists, employers, adjusters, insurance representatives, and other stakeholders.

• Coordinate modified-duty and return-to-work recommendations based on medical restrictions.

• Advocate for injured workers and assist them in understanding treatment plans and physician recommendations.

• Prepare monthly reports, case documentation, billing, and required records.

• Maintain timely and professional communication throughout the life of each case.

These duties align with the client’s position, which includes attending medical appointments, coordinating care, working with employers on modified duty, communicating with stakeholders, and maintaining monthly reporting and documentation.

Experience

Education

• Nursing degree from an accredited nursing program required

Licenses & Certifications

• Active California Registered Nurse license required

• Certified Case Manager (CCM) certification preferred

Experience

• Previous nurse case management experience required

• Workers’ compensation or occupational health experience required

• Field case management, rehabilitation, hospital, or related clinical experience preferred

The client’s original requirements include an RN license and prior case management experience, preferably in workers’ compensation or occupational health, with CCM preferred. Skills

• Strong clinical assessment and independent decision-making skills

• Excellent communication and documentation skills

• Strong organizational and time-management abilities

• Ability to work independently and manage a field-based schedule

• Ability to communicate professionally with physicians, injured workers, employers, and insurance representatives

Additional Position Highlights

• $110,000 – $115,000 salary +

• Additional bonus opportunity

• Mileage and eligible business-related travel reimbursement

• Smaller caseload / fewer files

• Flexible field-based environment

• Strong training and leadership support

Pay: $110,000.00 - $115,000.00 per year

Benefits

• 401(k)

• 401(k) matching

• Dental insurance

• Flexible schedule

• Health insurance

• Life insurance

• Paid time off

• Vision insurance

Work Location: On the road