Telephonic Case Manager Nurse - Remote

Overview

Ethos Risk Services is seeking a full-time Telephonic Case Management Nurse to provide professional case management for workers' compensation claims.

In Short

• Provide telephonic case management for workers' compensation claims.
• Communicate with injured workers and healthcare providers.
• Adhere to deadlines and state statutes.
• Document case details per URAC standards.
• Analyze medical records for treatment direction.
• Maintain confidentiality and security standards.
• Promote objectives of the Medical Management Division.

Requirements

• Valid RN License (required).
• Certified Case Manager (CCM) certification (plus).
• Experience in reviewing medical records (required).
• Strong knowledge of Microsoft Office (required).
• Must be initiative-taking and accountable (required).
• Bilingual - English/Spanish (preferred).

Benefits

• Hybrid work model with WFH options after training.
• Constant communication via telephone and virtual platforms.
• Office environment with stable temperatures.