Remote Telephonic Nurse Case Manager (RN) – Workers’ Compensation – Compact License

Company DescriptionInnovative Claims Strategies LLC (ICS) is a progressive medical claims management company specializing in workers’ compensation, automobile, liability, and correctional industries.

As a certified WBENC, WBE, SBE, and DBE organization, ICS delivers integrated programs tailored to each jurisdiction’s best practices and regulatory requirements. The company uses technology-driven decision engines to evaluate the appropriateness of care, control costs, and ensure consistent, high-quality service.

ICS’ STAR philosophy emphasizes exceptional customer Service, advanced Technology, a culture of Accountability, and measurable Results. Clients may engage ICS through fully integrated programs or select individual services on an unbundled, a la carte basis.

ICS provides an effective tool for managing the coordination of medical care and meeting full recovery and RTW objectives. Our multi-level telephonic Nurse Case Management workflow is designed to ensure those injured on the job receive the best and most appropriate medical care until they are safely back to work or have reached Maximum Medical Improvement

Role DescriptionThis full-time remote Telephonic Nurse Case Manager (RN) role focuses on coordinating medical care for workers’ compensation claims through phone-based case management. The nurse case manager will assess clinical information, develop and implement cost-effective care plans, and facilitate communication among injured workers, providers, employers, and claims professionals.

Daily responsibilities include monitoring treatment progress, supporting return-to-work goals, planning discharges, and ensuring that services align with evidence-based guidelines and jurisdictional requirements. The role also involves documenting case activities, participating in utilization review processes, and collaborating with internal teams to achieve optimal outcomes for clients and claimants.

Using established medical protocols and best practice guidelines embedded in our case management technology, our Nurse Case Manager’s assess the treatment plan, estimated disability duration and channel patients to best practice treatment providers.

A trusting, professional and positive relationship with the employee is made by each Nurse Case Manager while overseeing every aspect of their recovery.

This position will be conducted from a home-based office with all necessary hardware and software supplied by ICS. Having a compact RN License is highly desirable

Qualifications

• Clinical expertise in Nursing and Medicine to evaluate treatment plans, clinical progress, and medical necessity.
• Experience in Case Management and Discharge Planning to coordinate care, transitions, and return-to-work strategies.
• Knowledge of Utilization Management practices to review appropriateness of services and support cost-effective care.
• Active, unrestricted Registered Nurse (RN) license in an applicable state; multi-state licensure is a plus.
• Prior experience in workers’ compensation, occupational health, or insurance-based medical case management preferred.
• Strong telephonic communication, interpersonal, and documentation skills, with the ability to work independently in a remote setting.
• Familiarity with regulatory and jurisdictional requirements related to workers’ compensation and medical claims.
• Proficiency with electronic case management systems and basic office software; strong organizational and time management abilities.

Interested and qualified applicants can email their resume in confidence to:

Secure E-Mail: jobs@icstrategies.com