Nurse Case Manager (NCM) - Auto (Michigan)

This is a remote position. About The Opportunity Aquarius Strategies has been retained to search for a dedicated Field Nurse Case Manager to oversee the medical care and rehabilitation of individuals recovering from auto injuries in Grand Rapids, Michigan. This role requires close collaboration with physicians, rehabilitation specialists, insurance carriers, and other healthcare professionals to ensure optimal client outcomes.

The Nurse Case Manager will facilitate treatment coordination, monitor patient progress, and advocate for clients through their recovery journey. Position Purpose The Field Nurse Case Manager plays a critical role in facilitating and coordinating the medical rehabilitation needs of injured workers in a timely and cost-effective manner.

This position requires the consistent use of clinical expertise, independent judgment, and discretion to promote optimal outcomes. You will advocate for the injured worker's physical and emotional well-being, coordinate multidisciplinary resources, and implement strategies that significantly influence a safe and effective return-to-work process.

Key Responsibilities

Case Intake & Case Management Attend client appointments and meetings as needed; travel required within service area. Receive and process referrals from insurance companies, physicians, or direct clients. Create and maintain digital and physical case files, ensuring all information is organized and easily accessible.

Maintain accurate and up-to-date case documentation for compliance and reporting purposes. Medical Coordination & Client Support Assess medical, emotional, and rehabilitation needs of auto injury clients and coordinate necessary treatments (e.g., physical therapy, diagnostic tests, specialist consultations). Serve as the liaison between clients, physicians, therapists, and insurance carriers, ensuring clear communication and timely care.

Track and monitor the progress of treatments, including medications, therapies, and medical appointments. Assist with coordinating medical supplies, home modifications, and rehabilitation equipment as necessary. Educate clients and their families about injury recovery, treatment options, and rehabilitation processes. Reporting & Documentation Generate case progress reports for insurers or clients as requested, detailing medical care and rehabilitation milestones.

Maintain accurate contact sheets and documentation for billing and reporting purposes. Utilize case management software to track client progress, follow-up tasks, and deadlines. Collaboration & Compliance Collaborate with insurance adjusters and other professionals to provide timely updates on client progress and assist in claims processing.

Ensure compliance with workers’ compensation regulations, insurance guidelines, and internal company protocols. Assist with the review and approval of case documentation for billing and claims submission.

Requirements

Active, valid and unrestricted Registered Nurse (RN) license required. Preferred Certifications: Certified Case Manager (CCM) Certified Rehabilitation Registered Nurse (CRRN) Certified Life Care Planner (CLCP) Certified Legal Nurse Consultant (CLNC) Certified Brain Injury Specialist (CBIS) Certified Occupational Health Nurse (COHN) Minimum of 3 years of clinical nursing experience, preferably in case management or rehabilitation services.

Experience: Prior experience in medical case management is required. Direct experience in workers' compensation, occupational health, or disability case management is strongly preferred, but not required. Experience in hospital, orthopedic, or rehabilitation settings is a plus. Skills: Strong understanding of medical terminology, clinical practices, and workers' compensation laws.

Demonstrated ability to exercise independent clinical judgment and make decisions that impact case outcomes. Excellent interpersonal, negotiation, and communication skills (written and verbal). Strict adherence to HIPAA regulations and confidentiality standards. Strong organizational skills with the ability to manage multiple cases effectively.

Proficient in medical documentation, electronic health records (EHR), and case management software. Knowledge of auto injury recovery processes and insurance systems. Excellent communication and interpersonal skills, with a compassionate approach to patient care. Other Requirements: Ability to travel locally for field appointments (valid driver’s license and reliable transportation required).

Multilingual proficiency is a plus.

Benefits

Why Apply? This organization’s employees enjoy a culture of mutual respect and communication while thriving on challenge, innovation, and collaboration. They are driven by a shared purpose: to improve the lives of their clients and provide exceptional care. They offer a supportive work environment where your dedication to making a difference will be valued and rewarded.

Competitive Salary, Mileage Reimbursement, 401(k) Match, Health/Dental/Vision Insurance, Continuing Education Allowance This company is an equal opportunity employer and values diversity in the workplace.