Triage Telephonic Nurse Case Manager

Davies
United States
Workplace: RemoteFull timeUSD 66,000 - 67,000 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 3+ yearsSkills: ["Clinical assessment","Critical thinking","Communication","Independent decision making","Time management"]

Provide telephonic triage and nurse case management at the onset of workers’ compensation claims, conducting clinical assessments to determine appropriate levels of care. Coordinate communication among injured workers, employers, providers, and claims stakeholders, develop initial care plans, and monitor treatment for compliance with state and protocol requirements. Document all assessments and contacts in the claims system while advocating for injured employees’ recovery and return-to-work outcomes.

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Davies
Davies
17 hours ago

Triage Telephonic Nurse Case Manager

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Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 17 hours agoStatus: Live
Reposted: similar role first listed 1 month ago

Job Summary

Provide telephonic triage and nurse case management at the onset of workers’ compensation claims, conducting clinical assessments to determine appropriate levels of care. Coordinate communication among injured workers, employers, providers, and claims stakeholders, develop initial care plans, and monitor treatment for compliance with state and protocol requirements. Document all assessments and contacts in the claims system while advocating for injured employees’ recovery and return-to-work outcomes.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Provide telephonic triage and clinical case management services at the initial report of injury for workers’ compensation claims.
  • •Conduct comprehensive assessments at the time of injury and determine appropriate levels of care.
  • •Complete initial evaluations and required three-point contacts in accordance with state requirements and protocols.
  • •Develop and implement initial case management care plans, monitor compliance with state guidelines and evidence-based protocols, and support utilization management.
  • •Accurately document assessments, contacts, medical information, and case activities in the claims management system while serving as a patient advocate.

Pay and Benefits

Salary: USD 66,000 - 67,000 annually
Perks:Health InsuranceDentalVision401kPaid LeavePaid HolidaysLife InsuranceDisability InsuranceParental Leave

Key Requirements

  • •Current unrestricted Registered Nurse (RN) license.
  • •Minimum of 3 years of clinical nursing experience in Medical-Surgical, Orthopedics, Neurology, Critical Care/ICU, Occupational Health, or Industrial Nursing.
  • •Strong clinical assessment and critical thinking skills.
  • •Excellent verbal and written communication skills and ability to work independently to make sound clinical decisions.
  • •Proficiency with Microsoft Office Suite and healthcare or claims-related systems.
Experience:3+ yearsWorkers' compensationManaged careTelephonic case managementUtilization review
Skills:Clinical assessmentCritical thinkingCommunicationIndependent decision makingTime management
Licenses:Registered Nurse (RN)
Certifications:CCM
Tech Stack:Microsoft Office SuiteHealthcare systemsClaims-related systemsClaims management system

Company Brief

Davies
Davies is a specialist professional services and technology firm delivering claims, underwriting, and risk solutions to insurers, reinsurers, brokers and regulated businesses globally, with major capabilities in claims management, forensics, and digital transformation.
Industry: Consulting
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Established Company
Valuation: Unicorn (USD 1B+)
Funding: Private Equity Backed
Headquarters: City of London, United Kingdom
Founded: 1968
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