Senior Nurse Case Manager

About the role

Do you believe great outcomes happen when compassionate care, proactive communication, and workplace recovery come together? At MEM Insurance, we’re seeking a Senior Nurse Case Manager to guide injured workers through recovery, coordinate care, and support safe, timely return‑to‑work outcomes.

Key responsibilities

• Coordinate and manage medical treatment plans for injured workers throughout the claim lifecycle.
• Serve as liaison among injured workers, healthcare providers, employers, therapists, and claims professionals to ensure effective communication and care coordination.
• Assess medical information and treatment progress to identify opportunities that support recovery and safe return‑to‑work outcomes.
• Evaluate return‑to‑work potential considering medical status, job demands, vocational history, and education.
• Develop individualized case management strategies that promote quality care and positive rehabilitation outcomes.
• Advocate for appropriate medical treatment and identify gaps or barriers within the workers’ compensation system.
• Gather and maintain critical case information, including job descriptions, medical history, and treatment documentation.
• Conduct ongoing telephonic and remote case management activities, including follow‑up calls, provider communication, email correspondence, and documentation.
• Maintain accurate, timely, and confidential case records within company systems.
• Monitor case progress and communicate updates regularly with leadership, claims professionals, employers, and medical providers.

Required profile

• Associate Degree in Nursing or completion of a Diploma Registered Nurse Program.
• Active Registered Nurse (RN) license.
• 3+ years of clinical nursing experience in Medical/Surgical settings; 5+ years of insurance or workers’ compensation case management experience preferred.

What we offer

• Medical, dental, and vision health plans, including fertility benefits and adult orthodontia.
• Employer‑paid life insurance (3× base salary), AD&D, short‑ and long‑term disability.
• Wellness and recognition incentives for employees and spouses.
• Generous PTO, 9 holidays + 4 early releases, 16 hours volunteer time off, 20 days paid parental leave, and additional leave for marriage, bereavement, and jury duty.
• 401k retirement plan with employer match and profit sharing.
• Adoption assistance and tuition assistance.