About this Position

Texas Mutual takes care of injured workers by providing top-notch medical care when an accident occurs. As a Nurse Consultant/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 optimal claim outcomes. In this role, you will report to the Supervisor Medical Operations.

Responsibilities & Qualifications

Essential Job Functions:

Conduct evaluations of current processes on at-risk claims and develops intervention strategies, by:

• Evaluating an injured workers’ functional abilities as compared to their job requirements to project return to work dates based on regulatory Medical Disability Guidelines;

• Evaluating treatment plans and identifying medical stalls and prognoses to develop action plans that ensure cost-effective treatment for the compensable injuries based on industry Official Disability Guidelines; and

• Communicating with injured workers on treatment plans and the importance of medical compliance as related to their injuries.

Collaborate with Adjusters, Employers, Injured Workers, Providers, and Vendors in executing agreed plans of action, by:

• Assisting employers in identifying job modifications that accommodate injured workers’ functional capabilities and restrictions;

• Communicating standard of practice guidelines and serving as an expert to all partners;

• Using technology tools such as web, telephone, and our internal communications platform to empower a virtual presence.

Required Qualifications:

• Bachelors of Science degree in Nursing, Registered Nurse, or Associate Nursing Degree; nursing licenses must be current in the State of Texas and within current Nurse Compact agreement.

• At least five years of clinical practice in the area of orthopedics, rehabilitation, emergency department, or neurosurgical care.

• CCM designation required within two years of date of hire.

Preferred Qualifications:

• Specialty in occupational health, case management, legal, or ambulatory nursing preferred.

• Experience with workers' compensation preferred.

• Recognized designation (CCM, CRRN, LNCC, COHN, and/or CDMS) preferred.

Our Benefits:

• Day one health, dental, and vision insurance

• Performance bonus

• 401k plan with 4% basic employer contribution and 100% employer match contribution up to 6%

• Vacation, sick, holiday and volunteer time off

• Life and disability insurance

• Flexible spending account

• Free on-site gym and fitness classes

• Professional development

• Tuition reimbursement

• Pet insurance

• Free identity theft protection

• Company-sponsored social and philanthropy events


Texas Mutual Insurance Company is an Equal Employment Opportunity employer.

To apply, click here.