Location: Maitland, FL Work Arrangement: Hybrid preferred, remote consideredSchedule: Monday–Friday, 8:00 AM–4:30 PM ETSalary: $65,000-$70,000 annuallyLicensing Requirement: Active RN license required
At CCMSI, we don’t just manage claims—we support recovery. As a leading Third Party Administrator and a certified Great Place to Work®, we offer manageable caseloads, employee ownership, and a team-focused environment where your clinical expertise can make a meaningful impact.
We’re seeking a Nurse Case Manager to join our growing Albuquerque team. In this role, you’ll manage workers’ compensation files with a focus on providing high-quality, cost-effective medical care that leads to safe and timely return to work. You’ll collaborate with injured workers, providers, employers, and internal claim teams to ensure treatment aligns with established recovery goals.
This is a great opportunity for a registered nurse ready to apply clinical skills in a dynamic, outcomes-driven setting with growth potential.
Perform comprehensive case management for assigned workers’ compensation claims
Assess claimants’ medical status, work capacity, and treatment needs
Develop and document action plans to achieve Maximum Medical Improvement (MMI)
Collaborate with treating providers, claim adjusters, employers, and—when applicable—attorneys
Coordinate and monitor medical treatment; recommend IMEs, second opinions, and site evaluations as appropriate
Evaluate treatment plans for necessity and appropriateness
Document all file activity clearly and in alignment with CCMSI and jurisdictional standards
Report measurable cost savings and outcomes
Participate in problem-solving discussions to support efficient claim resolution
Provide on-site or virtual support at medical appointments, as needed
Required:
Active RN license
Strong verbal and written communication skills
Proficiency in Microsoft Office (Word, Outlook, Excel)
Excellent documentation, planning, and organizational skills
Ability to manage changing priorities in a professional, compassionate manner
Reliable attendance and commitment to client service
Preferred:
BSN and/or 3–5 years of clinical experience in trauma, rehab, ortho, occupational medicine, or workers’ comp
Prior case management experience
Working knowledge of medical necessity, MMI, RTW planning, and care coordination
Familiarity with utilization review, IME processes, and WC best practices
Cost savings and documented outcomes
Timely coordination and resolution of claims
Successful achievement of MMI and RTW
Compliance with documentation and quality standards
4 weeks PTO + 10 paid holidays in your first year
Medical, Dental, Vision, Life & Disability Insurance
401(k) and Employee Stock Ownership Plan (ESOP)
Career development, training programs, and internal mobility
Supportive, mission-driven work environment
At CCMSI, we believe in doing what’s right—for our clients, coworkers, and ourselves. Our team members are guided by values of:
Integrity, trust, and respect
Passionate client service
Continuous improvement
Team collaboration
Leadership at every level
Compensation & ComplianceThe posted wage reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual pay will be based on experience, qualifications, and internal equity. This role may also be eligible for additional compensation or bonuses.
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.
Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
If you’re ready to make a real difference in the lives of injured workers while advancing your own career, we’d love to meet you.
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Job details are sourced from the employer's original posting.
Open job postingAbout the company
CCMSI is a third-party administrator that provides claims management services for self-insured employers.