Triage Telephonic Nurse Case Manager

MDD Forensic Accountants

Triage Telephonic Nurse Case Manager providing clinical triage and telephonic case management for Workers’ Compensation claims. Ensuring injured employees receive appropriate medical care and fostering early return-to-work outcomes.

Posted 6/23/2026full-timeRemote • Alabama • 🇺🇸 United StatesMid-LevelSenior💰 $66,000 - $67,000 per yearWebsite

About the role

Key responsibilities & impact

Conduct initial triage and telephonic case management at the outset of Workers’ Compensation claims.
Perform clinical assessments of injured workers to determine appropriate medical care and treatment pathways.
Complete initial assessment and required three-point contact in accordance with State of Florida procedures and emergency protocols.
Develop an initial case management care plan based on clinical findings and information obtained from the injured worker, employer, and medical provider.
Identify potential causation concerns or barriers to recovery and document findings appropriately.
Facilitate communication between injured workers, employers, claims professionals, healthcare providers, and rehabilitation specialists.
Monitor treatment plans to ensure adherence to state-mandated treatment guidelines and evidence-based medical protocols.
Address initial return-to-work capabilities with injured workers and providers, documenting updates in the case management system.
Maintain accurate and timely documentation of all contacts, interviews, and medical information in the claims management system.
Identify opportunities for cost-effective medical management and appropriate utilization of services.
Educate injured workers and their families about recovery expectations and care plans.
Maintain strict patient confidentiality and compliance with state and federal healthcare regulations.
Serve as a patient advocate, ensuring quality care and adherence to ethical and regulatory standards.
Participate in quality assurance initiatives, committees, and department activities as required.
Assist with training claims staff on identifying medical case management opportunities, as needed.

Requirements

What you’ll need

Registered Nurse (RN) with an active and unrestricted state license
Minimum of 3 years of clinical nursing experience (medical-surgical, orthopedic, neurological, ICU/CCU, occupational health, or related specialty).
Workers’ Compensation case management experience preferred.
Prior telephonic case management or triage experience preferred.
Strong understanding of clinical documentation and patient advocacy principles.
Strong clinical assessment and triage skills in a Workers’ Compensation or occupational health environment.
Knowledge of Workers’ Compensation medical case management practices and treatment guidelines.
Ability to identify barriers to recovery and develop appropriate care strategies.
Excellent verbal and written communication skills, with the ability to work collaboratively with multiple stakeholders.
Strong organizational and documentation skills with attention to detail.
Ability to work independently and manage multiple priorities in a fast-paced environment.
Proficiency with computer systems, case management software, and Microsoft Office applications.
Commitment to high-quality patient care, confidentiality, and regulatory compliance.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical assessmentscase managementtriagemedical documentationpatient advocacytreatment guidelinescare strategiesWorkers’ Compensation practicescost-effective medical managementquality assurance

Soft Skills

communication skillsorganizational skillsattention to detailindependencecollaborationability to manage multiple prioritiespatient confidentialityethical standardseducational skillsproblem-solving

Certifications

Registered Nurse (RN) license