Registered Nurse (RN) - Case Management
Texas Mutual Insurance Company
Lubbock, TX

Nurse Case Manager

We're excited you're considering joining a great place to work! Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law. About this Position Texas Mutual takes care of injured workers by providing top-notch medical care when an accident occurs. As a Nurse Case Manager, you will be part of the team that develops intervention strategies on stalled or at-risk claims and provides health information and consulting to customers across the division to guide claim outcomes. In this role, you will enjoy a hybrid-flex work schedule and report to any one of our four office locations in either Austin, Dallas, Houston, or Lubbock. Relocation assistance is available. Come join our team and be a part of making a difference in Texas! Responsibilities & Qualifications As a Nurse Case Manager, You Will: Conduct evaluations of current processes on at-risk claims and develop intervention strategies, by: * Evaluate an injured worker's functional abilities as compared to their job requirements to project return to work dates based on regulatory Medical Disability Guidelines; * Evaluate treatment plans and identify medical stalls and prognoses to develop action plans that ensure cost-effective treatment for compensable injuries based on industry Official Disability Guidelines; and * Communicate with injured workers on treatment plans and the importance of medical compliance as related to their injuries. Work with Adjusters, Employers, Injured Workers, Providers, and Vendors in accomplishing agreed plans of action, by: * Assist employers in identifying job modifications that accommodate injured workers' functional capabilities and restrictions; * Communicate standard of practice guidelines and serve as an expert to all partners; * Use technology tools such as the web, telephone, and our internal communications platform to empower a virtual presence. Required Qualifications: * Bachelor of Science degree in Nursing or equivalent education, training, or experience; nursing licenses must be current in the State of Texas. * At least two years of clinical practice in the area of orthopedics, rehabilitation, emergency department, or neurosurgical care or equivalent education, training, or experience. * CCM required or equivalent certification. Flex-Hybrid Work Environment: Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed. Our Benefits: * Flex-hybrid work environment for most positions * Annual performance bonus and merit-based pay increase * Professional development and tuition reimbursement * Automatic 4% employer contribution to retirement plan * 401k plan with 100% employer match up to 6% * Three weeks' time off for vacation * Nine paid holidays and two personal days each year * Generous sick, holiday and volunteer time off * Day one health, Rx, vision and dental insurance * Life and disability insurance * Flexible spending account * Pet coverage and pet Rx discounts * Free on-site gym, fitness classes, and health and wellness resources * Free identity theft protection * Free 2nd medical opinion service * Free student loan repayment and refinancing consultation * Employee referral bonus