Triage Telephonic Nurse Case Manager (Workers' Compensation)

TL;DR

Triage Telephonic Nurse Case Manager (Medical Management): Providing clinical triage and telephonic case management for Workers' Compensation claims with an accent on initial assessment and care plan development. Focus on coordinating care between injured workers, employers, and providers to ensure timely medical treatment and support early return-to-work outcomes.

Location: Must be based in the United States

Salary: $66,000–$67,000 / year

Company

hirify.global is a specialist professional services and technology firm partnering with leading insurance and highly regulated businesses to manage risk and transform core operations.

What you will do

• Conduct initial triage and telephonic case management for Workers' Compensation claims.
• Perform clinical assessments to determine appropriate medical care and treatment pathways.
• Develop and monitor initial case management care plans based on clinical findings.
• Facilitate communication between injured workers, employers, claims professionals, and healthcare providers.
• Document all contacts, interviews, and medical information accurately in the claims system.
• Educate injured workers and families about recovery expectations and care plans.

Requirements

• Registered Nurse (RN) with an active and unrestricted state license.
• Minimum of 3 years of clinical nursing experience (e.g., medical-surgical, ICU, occupational health).
• Must be based in the United States.
• Strong understanding of clinical documentation and patient advocacy principles.
• Proficiency with computer systems and Microsoft Office applications.
• Ability to work independently and manage multiple priorities in a fast-paced environment.

Nice to have

• Workers’ Compensation case management experience.
• Prior telephonic case management or triage experience.

Culture & Benefits

• Comprehensive medical, dental, and vision plans.
• 401(k) plan with employer matching.
• Paid time off and paid holidays.
• Life insurance and short-term/long-term disability coverage.
• Commitment to a diverse and inclusive workplace.