Telephonic Nurse Case Manager (Remote)
- $78,000–$83,000 per year
- Remote
- Full Time
About the role
Our Story
Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re 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.
What's in Store
We are on the lookout for a Telephonic Nurse Case Manager. As the NCM, you will be responsible for the management and independent decision making on medical claims. You will monitor, analyze, evaluate and coordinate the delivery of high quality, timely, cost effective medical treatment and other health services as needed by an injured employee to promote an appropriate, prompt return to work when medically indicated. You will manage all care throughout the continuum of services in order to achieve the highest level of quality medical care in the most cost effective and timely manner possible. You will perform ongoing assessments of the injured employee’s recovery to ensure high quality of care, reduce recovery time and minimize the effects of injury.
Responsible for performing Telephonic Case-Management activity on Workers’ Compensation cases according to parameters identified/required performance standards per the State of Florida.
Key Responsibilities
- Coordinate and monitor medical treatment for injured workers involved in workers’ compensation claims.
- Review medical records, treatment plans, and diagnostic reports to assess the appropriateness of care.
- Provide clinical recommendations regarding treatment plans, medical progress, and anticipated recovery timelines.
- Communicate with treating physicians and medical providers to clarify treatment plans and facilitate appropriate care.
- Partner closely with claims adjusters to provide clinical insight that supports claim evaluation and resolution.
- Assist adjusters in understanding medical conditions, treatment plans, and disability status.
- Participate in claim reviews and strategy discussions for complex or high-exposure claims.
- Work with employers and injured workers to support modified duty and return-to-work opportunities.
- Evaluate functional capacity and work restrictions in collaboration with treating providers.
- Monitor treatment plans to ensure medical care is reasonable, necessary, and aligned with evidence-based guidelines.
- Maintain detailed and accurate documentation of case management activities.
- Prepare case summaries, progress reports, and clinical updates for claims teams and stakeholders.
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)
- 1 year of FL workers comp or FL occupational health required.
- 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 well‑being 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
- Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
- Paid holidays
- Life insurance and short‑term and long‑term 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 employee’s 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.
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 fair‑chance 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.
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 individual's 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 [email protected]