Benefits:

Bonus based on performance

Competitive salary

Flexible schedule

Opportunity for advancement

Paid time off

Operations & Clinical Services Manager (RN)

Forthright Case Management

Location: This role is open open to applicants who currently reside in or are willing to relocate to Billings, as local travel is required.

Position Summary

Forthright Case Management is seeking a dynamic, highly organized, and relationship-focused Registered Nurse (RN) to serve in a dual Operations & Clinical Services role. This position is designed for an experienced nurse who can successfully balance operational leadership, client relations, business development, and administrative responsibilities while maintaining the ability to actively manage a nurse case management caseload as business needs require.

Clinical Responsibilities

Clinical Nurse Case Management: maintain a workers’ compensation patient panel when assigned.

Coordinate medical treatment plans with injured workers, physicians, employers, adjusters, attorneys, and rehabilitation professionals.

Attend physician appointments when appropriate.

Evaluate treatment plans and identify barriers to recovery.

Facilitate timely return-to-work planning.

Prepare comprehensive case management reports that meet client expectations.

Maintain documentation in accordance with state regulations, HIPAA, and client requirements.

Provide telephonic and field case management services as needed.

Serve as clinical backup for other Nurse Case Managers during vacations, leave, or increased caseloads.

Operational & Client Services Responsibilities

Oversee daily administrative and operational workflows.

Coordinate new referrals and assign cases appropriately.

Monitor case progression and reporting deadlines for the nursing team.

Ensure exceptional client service and timely communication with referral sources

.Develop and maintain strong relationships with insurance carriers, TPAs, employers, attorneys, and healthcare providers.

Support billing, operational reporting, and quality assurance initiatives.

Identify opportunities to improve efficiency and clinical outcomes.

Team Leadership Responsibilities

Assist with recruiting, interviewing, onboarding, and mentoring Nurse Case Managers.

Support clinical orientation and ongoing professional development for the team.

Assist upper leadership with policy implementation and operational improvements.

Promote Forthright's culture of collaboration, professionalism, and clinical excellence.

The successful candidate is someone who can comfortably transition between leadership and direct patient advocacy. The role will develop into overseeing operations, building client relationships, and supporting staff in addition to maintaining a patient caseload.

Business Development & Growth Responsibilities

Represent Forthright Case Management at industry conferences, networking events, and client meetings.

Assist with business development initiatives and relationship management.

Support marketing efforts, including professional social media engagement and educational content.

Strengthen existing client relationships while helping cultivate new referral sources.

Required Qualifications

Active, unrestricted Montana or Compact Registered Nurse (RN) license

Minimum of 3 years of Nurse Case Management experience preferred.

Experience in workers' compensation case management strongly preferred.

Certified Case Manager (CCM) or willingness to obtain certification preferred.

Excellent written and verbal communication skills.

Strong clinical assessment and critical thinking abilities.

Experience with Microsoft Office and electronic case management systems.

Ability to travel locally for field case management and client meetings as needed. Reliable transportation required.

A successful candidate will demonstrate the following attributes:

The ideal candidate is a licensed RN with experience in workers' compensation, medical case management, utilization management, occupational health, or catastrophic injury management. They should possess excellent clinical judgment, strong communication skills, and the ability to transition seamlessly between direct case management and operational leadership.

This individual will support Forthright's continued growth by overseeing daily operations, strengthening client relationships, assisting with referral management, supporting recruiting and onboarding, and providing high-quality nurse case management services.

The candidate should be personable, friendly, and confident interacting with patients, other professionals, and potential business partners. The candidate will be expected to participate in business growth and development activities including networking and developing partnerships.

This individual is a compassionate nurse, an organized administrator, a confident communicator, and a proactive leader who is committed to delivering exceptional outcomes for clients and injured workers alike.

Why Join Forthright Case Management?

At Forthright Case Management, we believe excellent clinical care and exceptional client service go hand in hand. This unique hybrid position offers the opportunity to remain clinically engaged while helping shape the operational growth of an expanding organization. The role allows for a flexible work from home schedule, with local travel. If you are looking for a leadership opportunity that combines nursing expertise with business operations and relationship management, we encourage you to apply.

Please click on the link below to apply:

https://forthright-case-management-llc.careerplug.com/jobs/3461508/apps/new

Benefits:

Flexible schedule

Bonus based on performance

Competitive salary

Paid time off

Flexible hybrid work from home options available

Leadership and professional development opportunities

Compensation: $70,000.00 - $85,000.00 per year

Full Time preferred

Flexible work from home options available.

This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchise. All inquiries about employment at this franchise should be made directly to the franchise location, and not to Lifetime of Love Nannies.