Telephonic Nurse Case Manager - Triage & Clinical Leader

Davies North America; United States; Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) with employer matching

Paid time off and holidays

Life insurance and disability coverage

Job summary

Davies North America is seeking a Triage Nurse Case Manager to evaluate workers’ compensation referrals and determine the appropriate level of medical case management intervention. You will review injury details to support early clinical decision‑making and assign suitable case management services.

The role requires active RN licensure and 3+ years of clinical nursing experience, with preference for workers’ compensation or occupational health background.

Qualifications

• Registered Nurse with active license.
• 3+ years of clinical nursing experience.
• Workers’ compensation case management or occupational health experience preferred.
• Strong clinical assessment and decision‑making skills.
• Knowledge of medical case management practices.

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.
• Participate in case reviews and audits to ensure alignment with best practices and program guidelines.
• Oversee triage operations and staff as needed.

Skills

RN license

Clinical assessment

Case management

Communication skills

Workers' compensation

Job description

Davies North America is seeking a Triage Nurse Case Manager to evaluate workers’ compensation referrals and determine the appropriate level of medical case management intervention. You will review injury details to support early clinical decision‑making and assign suitable case management services.

The role requires active RN licensure and 3+ years of clinical nursing experience, with preference for workers’ compensation or occupational health background.