Triage Telephonic Nurse Case Manager (Workers' Compensation)

Location: Fully remote within the United States. Shifts: 9:00 AM–6:00 PM or 2:00 PM–11:00 PM, based on business needs.

Salary: $66,000–$67,000 per year.

Company

hirify.global is a professional services and technology firm supporting insurance and other highly regulated businesses with risk management, claims, transformation, and operational solutions.

What you will do

• Provide telephonic triage and case management at the initial report of workers' compensation injuries.
• Conduct clinical assessments, determine appropriate levels of care, and develop initial care plans.
• Coordinate communication among injured workers, employers, healthcare providers, claims professionals, and other stakeholders.
• Evaluate recovery barriers and return-to-work capabilities, including modified duty options.
• Monitor treatment for compliance with state guidelines, evidence-based protocols, and client requirements.
• Document case activities, support utilization management, educate injured workers, and contribute to quality initiatives and team training.

Requirements

• Current unrestricted Registered Nurse (RN) license.
• At least 3 years of clinical nursing experience in medical-surgical, orthopedics, neurology, critical care/ICU, occupational health, or industrial nursing.
• Strong clinical assessment, critical thinking, independent decision-making, and communication skills.
• Ability to manage multiple priorities in a fast-paced environment with attention to detail.
• Proficiency with Microsoft Office and healthcare or claims-related systems.
• Ability to work one of the required daytime or evening schedules.

Nice to have

• Workers' compensation or telephonic case management experience.
• CCM designation or progress toward certification.
• Utilization review, managed care, call center, or high-volume intake experience.
• Familiarity with state workers' compensation regulations and treatment guidelines.
• Bilingual skills.

Culture & Benefits

• Medical, dental, and vision plans.
• 401(k) plan with employer matching.
• Paid time off, discretionary time off for exempt employees, and paid holidays.
• Life insurance and short- and long-term disability coverage.
• Inclusive workplace with benefits varying by role, classification, and applicable state and local laws.