Telephonic Nurse Case Manager (Exposure)

We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses. We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management. Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.

We're on the lookout for a Telephonic Nurse Case Manager (Exposure) to join our growing team! As a Telephonic Nurse Case Manager (Exposure), you will be responsible for monitoring, evaluating and coordinating the delivery of high quality, timely, cost-effective medical treatment and other health services under Workers’ Compensation law. Reporting to the TCM Supervisor, you will also perform ongoing assessments of the injured employee’s recovery to ensure high quality of care, reduce recovery time and minimize the effects of injury. This role is a full-time, salaried, remote position.

Providing telephonic case-management in a Workers’ Compensation environment; focusing on medical appropriateness of care to injured worker with cost savings by coordination and utilization of all services, ensuring that as soon as medically feasible, return-to-work status is achieved, along with increase in productivity Facilitating communication between the employee, the employee representative, employer, employer representative, insurer, health care provider, the medical services organization and when authorized, any qualified rehabilitation consultant, to achieve the goals Clinically evaluating the recovery needs of an injured employee after the initial contact assessment Evaluating treatment plans and documenting outcomes Tracking protocol management for appropriate utilization and delivery of medical services Serving as a patient advocate adhering to all legal, ethical and accreditation/regulatory standards Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together Perform other duties as assigned