Patient Care Case Manager

Nurse Case Manager (Care Case Manager)

As a Care Case Manager, you’re the connection point between physician reviewers, medical providers, claims staff, and injured workers. You’ll help ensure people get the right level of care, provide guidance through the workers’ compensation system, and support our internal team so that nothing falls through the cracks.

This role is perfect for a detail-oriented, compassionate problem-solver who enjoys variety, teamwork, and helping others navigate complex situations.

What You’ll Do

• Coordinate Level of Care Reviews: Review cases in our system (OPS) and ensure patients receive the appropriate level of care.
• Handle Follow-Up Calls: Step in when scheduled medical case management calls don’t happen, gather information from providers, and relay questions or education on Oregon workers’ compensation laws.
• Support & Backup: Cover for team members and the Medical Treatment Review Specialist when they’re unavailable.
• Guide Injured Workers: Connect them with additional resources such as housing or food assistance.
• Spot Barriers Early: Identify psychosocial or demographic factors that could delay recovery and alert the team.
• Coach & Collaborate: Share technical knowledge with claims staff and help improve our medical treatment review and case management processes.
• Ensure Compliance: Stay current with contract requirements, MCO policies, and workers’ compensation laws.
• Provide Excellent Service: Deliver high-quality support to both internal and external customers.

What You Bring

• Credentials: Current Oregon Registered Nurse (RN) license.
• Experience: At least 3 years in workers’ compensation, clinical care, or case management.
• Skills:
• Strong communication (written and verbal)
• Knowledge of occupational medicine and medical terminology (including ICD-10 and CPT codes)
• Organization, prioritization, and problem-solving
• Ability to navigate conflict, coach others, and coordinate resources
• Comfortable using technology and working from task logs

You’ll Succeed Here If You…

• Thrive in a fast-paced environment with multiple priorities.
• Enjoy collaborating with a wide range of people.
• Can make clear, empathetic decisions under pressure.
• Stay organized and calm when workflows change unexpectedly.

Work Environment

• Normal office setting with standard equipment (computer, phone, copier, etc.) work remotely, 4 days/ per week, and 1 day in the office in Tigard.
• Remote work opportunities per current Worksite Options Policy.

May require occasional travel to client or provider locations.

Salary: $90K-$100K/year. (DOE)Benefits

Benefits are available to eligible full-time employees and include coverage for medical, dental, vision, life insurance, short and long term disability, and matching 401k.

Meet VanderHouwen

What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we're in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies' staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.

VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!

VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.