Medical Case Manager - Workers' Compensation

Job Description

Job Description

ABOUT US:Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. Our name reflects our mission - Forza means "strength," representing the power of our team, and Care reflects our compassion for those we serve. ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative and risk mitigation solutions. Together, we're expanding our reach and strengthening our ability to deliver exceptional service across the workers' compensation industry. Learn more about ForzaCare and Ethos partnership here. JOB SUMMARY:As a Field Medical Case Manager at ForzaCare, you'll help injured workers navigate their recovery and return to work. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management. This role is ideal for licensed nurses or certified rehabilitation counselors with prior experience working in a role where the primary responsibility was coordinating medical care and case management for individuals with active workers' compensation claims. KEY RESPONSIBILITIES:Coordinate care between medical providers, employers, insurance carriers, and injured workers.Attend appointments with the injured workers, which may include visiting employers and injured workers at their place of employment.Develop, document, and monitor individualized recovery goals and return-to-work plans.Provide consistent communication and detailed progress reports to clients and stakeholders.Ensure all case management work meets or exceeds customer and compliance requirements.Build and maintain strong relationships with clients, providers, and internal team members.  QUALIFICATIONS:Education & Licensure:Active PA Registered Nurse (RN) or PA Compact RN licensure is required. Additional certifications such as CCM, CIRS, or other case management credentials are preferred.Must comply with all state-specific licensure and certification requirements.Prior workers' compensation case management is strongly preferredValid driver's license, reliable transportation, and auto insurance with ability to travel to appointments.Skills & Attributes:At ForzaCare, we look for professionals who embody our values and thrive in a collaborative, purpose-driven environment:Motivated –You take pride in exceeding goals and continuously improving.Organized – You can manage a fast-paced workload and multiple priorities with ease.Collaborative – You communicate clearly and work well with diverse teams and stakeholders.Committed – You uphold ForzaCare's mission to deliver high-quality, compassionate care and comply with all safety, ethical, and professional standards. ForzaCare is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.