Full-Time
Workers Compensation Field Case Manager
Rising Medical Solutions
51-200 employees
Medical cost containment and care management
No salary listed
Orlando, FL, USA
Hybrid
Typically requires driving to appointments within a 2-hour radius.
 Medical, Clinical & Veterinary |
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- Candidates must have a strong background in medical case management and workers’ compensation.
- Candidates should be familiar with regional physicians.
- Candidates must have an active, unencumbered registered nursing license and at least 5 years of experience.
- Candidates should be able to drive to appointments, typically within a 2-hour radius.
- Collaborate with injured employees, employers, healthcare providers, workers’ compensation adjusters, and fellow team members to continuously evaluate and enhance treatment plans.
- Identify and overcome barriers in the recovery process while advocating for the best possible outcomes for all stakeholders.
- Facilitate preferred provider selections and ensure compliance with best practices in workers’ compensation management.
- Certified Case Manager (CCM) certification is optional but highly valued.
- Certified Occupational Health Nurse—Specialist/Case Manager (COHN-S/CM) certification is optional but highly valued.
Rising Medical Solutions provides medical cost containment and care management services for workers’ compensation, auto, liability, and group health markets, serving carriers, TPAs, self-insured employers, and public entities. Its bill review process uses fee schedules, discounts, nurse audits, provider negotiations, and fraud detection to lower claim costs—achieving over 60% in savings—while its broader offerings support the full medical care continuum through its VISION™ platform, a single-sign-on system for medical management. The company also publishes the annual Workers’ Compensation Benchmarking Study to share insights on claims management. Its goal is to reduce costs, improve care outcomes, and streamline the medical care and claims process for all participants.
Company Size
51-200
Company Stage
N/A
Total Funding
N/A
Headquarters
Chicago, Illinois
Founded
1999
Get referred to Rising Medical Solutions
See people who can refer or advise you
Simplify's Take
What believers are saying
- Rising launched Ask Leah in September 2026, strengthening its AI-enabled claims workflow.
- Inc. named Rising to the 2025 Inc. 5000 for the eighth time.
- John Paolacci joined in June 2024 to improve product optimization and Medicare compliance growth.
What critics are saying
- CMS introduced WCMSA and Section 111 changes in 2026, raising compliance costs fast.
- Ask Leah’s generative AI launch in September 2026 creates execution risk if clients distrust automation.
- Pushing into growth under Jason Beans and David Dubrof risks sales misses and margin pressure.
What makes Rising Medical Solutions unique
- VISION integrates medical cost containment, care management, and Section 111 reporting.
- Rising won HITRUST r2 certification in March 2026 for its platform and cloud controls.
- The Benchmarking Study is the industry’s largest claims-management research program, now in its 13th survey.
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Benefits
Flexible Work Hours
Remote Work Options
401(k) Company Match
Phone/Internet Stipend
Company News
Chicago, IL - Rising Medical Solutions (Rising) recently announced the appointment of David Dubrof as Chief Growth Officer.
Chicago, IL - Rising Medical Solutions today announced the release of its 12th annual Workers' Compensation Benchmarking Study Report.
CHICAGO, June 19, 2024 /PRNewswire/ -- Longtime managed care executive John Paolacci has joined Rising Medical Solutions (Rising) as the firm's Chief Operating Officer. In this role, John will be responsible for continuous product optimization through customer delivery for all of Rising's medical cost containment and medical care management services. Additionally, John will oversee the company's Medicare compliance solutions, including its Section 111 reporting, a service line poised for growth given the Centers for Medicare and Medicaid Services impending changes to Medicare Set Aside reporting requirements.John brings 30 years of industry knowledge and operations expertise to his new position, having held senior leadership roles in the delivery of claims management, medical bill review, medical care management, PPO and ancillary networks, and Medicare Secondary Payer services to the workers' compensation, auto, and healthcare markets. Prior to joining Rising, John served as Chief Claims Officer at Valenz Health, leading the company's payment integrity and network division."Rising has the best medical management platform I've seen in the industry and the company clearly understands the critical role technology and artificial intelligence play in maximizing efficiencies and savings for clients," says Paolacci. "Equally impressive is Rising's investment in creating a dynamic culture that encourages ingenuity at every level of the organization. I look forward to being part of a team that is passionate about all aspects of the employee and customer experience."Adds Rising CEO Jason Beans, "John's vast experience with technology-fueled service models, ability to drive product innovation, and commitment to continuous performance improvement make him ideally suited to lead our suite of managed care and settlement support solutions
Granblue Fantasy Versus: Rising has released a brand new update which adds new character Beatrix to the mix as well as additional content.
Plus the world premiere of the family adventure based on the iconic Japanese character, Ultraman: Rising, from director Shannon Tindle and co-director John Aoshima.