Remote Nurse Case Manager – Triage & Telephonic Expert

Davies; Alabama; Remote; USD 66,000 - 67,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) with employer matching

Discretionary Time Off and PTO

Job summary

Davies North America is seeking a Triage Telephonic Nurse Case Manager to evaluate workers' compensation injury referrals and determine the appropriate level of medical case management intervention. This remote role supports early clinical decision-making and assignment of services.

You will review details, provide clinical guidance to claims teams, monitor workflow, and contribute to quality improvement while collaborating with leadership.

Qualifications

• RN with active and unrestricted license.
• 3+ years of clinical nursing experience.
• Workers' compensation or occupational health experience preferred.
• Strong clinical assessment and decision-making skills.
• Excellent communication and collaboration skills.

Responsibilities

• Review injury referrals and medical documentation to assess case complexity and medical needs.
• Support assignment of appropriate case management services, including telephonic or field case management.
• Provide clinical guidance to claims teams regarding injury management strategies.
• Monitor triage workflow and referral turnaround times.
• Maintain documentation supporting triage decisions and case assignments.
• Support quality improvement initiatives related to triage processes and clinical outcomes.
• Serve as a clinical resource for nurse case managers managing complex or high-exposure claims.
• Partner with operational leadership to support effective triage service delivery.

Skills

RN license

Clinical nursing

Workers' compensation

Clinical assessment

Communication

Job description

Davies North America is seeking a Triage Telephonic Nurse Case Manager to evaluate workers' compensation injury referrals and determine the appropriate level of medical case management intervention. This remote role supports early clinical decision-making and assignment of services.

You will review details, provide clinical guidance to claims teams, monitor workflow, and contribute to quality improvement while collaborating with leadership.