Nurse Case Manager (Auto Injury Case Management)

SkyView Case Management is seeking a dedicated Nurse Case Manager to oversee the medical care and rehabilitation of individuals recovering from auto injuries. 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.

Key Responsibilities:

Case Intake & Case Management

• 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.

Qualifications & Skills:

• Licensed Practical Nurse (LPN) (I added) or Registered Nurse (RN) license required (active in Michigan).
• Minimum of 3 years of clinical nursing experience, preferably in case management or rehabilitation services.
• 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.

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)

If you are passionate about making a difference in the lives of others through effective case management, we invite you to apply today!

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Mileage reimbursement
• Paid time off
• Referral program
• Vision insurance

Work Location: Hybrid remote in Kalamazoo, MI 49009