Triage Telephonic Nurse Case Manager (Remote)

Our Story

Imagine being part of a team thats not just shaping the future but actively driving it. At Davies North America were at the forefront of innovation and excellence blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group we help businesses navigate risk optimize operations and spearhead transformation in the insurance and regulated sectors.

Whats in Store
The Triage Nurse Case Manager evaluates workers compensation injury referrals to determine the appropriate level of medical case management intervention. This role reviews injury details and medical information to support early clinical decision-making and ensure appropriate case management services are assigned.

Key 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.
• Participate in case reviews and audits to ensure recommendations align with evidence-based practices and program guidelines.
• Provides strategic oversight for triage case management programs.
• Oversees multiple teams or supervisory staff.
• Monitors operational performance service delivery and clinical outcomes.
• Identifies process improvement opportunities within triage operations.
• Partners with senior leadership on program initiatives and client deliverables.
• Supports workforce planning staffing strategies and resource allocation.
• Ensures alignment with organizational goals and clinical best practices.

Skills knowledge & expertise

• Registered Nurse (RN) with active and unrestricted license
• 3 years of clinical nursing experience required (medical-surgical orthopedic neurological ICCU industrial or occupational)
• Workers compensation case management or occupational health experience preferred.
• Strong clinical assessment and decision-making skills.
• Knowledge of medical case management practices within workers compensation programs.
• Excellent communication and collaboration skills.

Equal Employment Opportunity & Legal Notices

Benefits

At Davies North America we are dedicated to supporting the wellbeing and future of our qualifying employees. Our comprehensive benefits package includes:

• Medical dental and vision plans to support your health and that of your family
• A 401(k) plan with employer matching
• Timeoff policies including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for nonexempt employees
• Paid holidays
• Life insurance and shortterm and longterm disability coverage

Benefit offerings eligibility and required employer contributions may vary based on role classification and applicable federal state and local laws including those tied to an employees primary work location.

Where required by law the Company provides paid sick leave paid family and parental leave and other mandated benefits in accordance with applicable state and local requirements.

Diversity and Inclusion

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity and we actively promote an environment where all voices are valued and heard.

Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills experience qualifications and geographic location which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.

Essential Functions
The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions.

• Maintain regular and dependable attendance.
• Be available and able to perform job responsibilities during established work hours.

Background Check & Fair Chance Compliance

Any background check or review of criminal history if applicable to the role will be conducted only after a conditional offer of employment and in compliance with applicable federal state and local laws including fairchance hiring requirements.

Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

AI Policy
At Davies we value authentic conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews we expect interview responses and assessments to reflect each individuals own experience knowledge and professional judgment.
We do not use sites like Facebook Craigslist or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal please email us at

Required Experience:

Manager