Job Description

• Manage a caseload of workers' compensation nurse case management files when assigned.
  
  
• Coordinate medical treatment plans with injured workers, physicians, employers, adjusters, attorneys, and rehabilitation professionals.
  
  
• Attend physician appointments when appropriate.
  
  
• Evaluate treatment plans and identify barriers to recovery.
  
  
• Facilitate timely return-to-work planning.
  
  
• Prepare comprehensive case management reports that meet client expectations.
  
  
• Maintain documentation in accordance with state regulations, HIPAA, and client requirements.
  
  
• Provide telephonic and field case management services as needed.
  
  
• Serve as clinical backup for other Nurse Case Managers during vacations, leave, or increased caseloads.
  
  

• Oversee daily administrative and operational workflows.
  
  
• Coordinate new referrals and assign cases appropriately.
  
  
• Monitor case progression and reporting deadlines.
  
  
• Ensure exceptional client service and timely communication with referral sources.
  
  
• Develop and maintain strong relationships with insurance carriers, TPAs, employers, attorneys, and healthcare providers.
  
  
• Support billing, operational reporting, and quality assurance initiatives.
  
  
• Identify opportunities to improve efficiency and clinical outcomes.
  
  

• Represent Forthright Case Management at industry conferences, networking events, and client meetings.
  
  
• Assist with business development initiatives and relationship management.
  
  
• Support marketing efforts, including professional social media engagement and educational content.
  
  
• Strengthen existing client relationships while helping cultivate new referral sources.
  
  

• Assist with recruiting, interviewing, onboarding, and mentoring Nurse Case Managers.
  
  
• Support clinical orientation and ongoing professional development.
  
  
• Assist leadership with policy implementation and operational improvements.
  
  
• Promote Forthright's culture of collaboration, professionalism, and clinical excellence.
  
  

• Active, unrestricted Registered Nurse (RN) license.
  
  
• Minimum of 3 years of Nurse Case Management experience preferred.
  
  
• Experience in workers' compensation case management strongly preferred.
  
  
• Certified Case Manager (CCM) or willingness to obtain certification preferred.
  
  
• Excellent written and verbal communication skills.
  
  
• Strong clinical assessment and critical thinking abilities.
  
  
• Experience with Microsoft Office and electronic case management systems.
  
  
• Ability to travel locally for field case management and client meetings as needed.