RN Case Manager - Workers Compensation

RN Case Manager – Workers’ Compensation

Salary Range: $75,000 – $85,000 per year

Bonus / Commission: This role is eligible for a lucrative bonus and/or commission structure. A summary of the commission plan will be provided during the interview process.

Location: Pittsburgh, PA

Position Summary

Field-Based / Local Travel Required

RCM Healthcare Services is recruiting an experienced Field Nurse Case Manager for a direct hire opportunity supporting injured workers throughout the Pittsburgh 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 Los Angeles 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.

Requirements

Education

• Nursing degree from an accredited nursing program required
  
  

Licenses & Certifications

• Active Pennsylvania Registered Nurse license required
• Certified Case Manager (CCM) certification preferred
  
  

Experience

• Previous nurse case management experience required
• Workers’ compensation or occupational health experience strongly preferred
• Case management, rehabilitation, hospital, or related clinical experience preferred
• Field or Home Care Case Management experience strongly 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

• $75,000 – $85,000 salary
• Additional bonus opportunity
• Mileage and eligible business-related travel reimbursement
• Smaller caseload / fewer files
• Flexible field-based environment
• Strong training and leadership support
  
  

About Us

RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences. With more than 50 years of staffing experience, our team understands the environments you’re stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We’re committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being. RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.

Equal Employment Opportunity & Reasonable Accommodation

RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.