Telephonic Nurse Case Manager; LPN

Position: Telephonic Nurse Case Manager (LPN)

Join to apply for the Telephonic Nurse Case Manager (LPN) role at Davies

Join to apply for the Telephonic Nurse Case Manager (LPN) role at Davies

Get AI-powered advice on this job and more exclusive features.

Department: Claims Administration & Adjusting

Compensation: $60,000 - $70,000 / year

Department: Claims Administration & Adjusting

Location: Orlando, FL

Compensation: $60,000 - $70,000 / year

Description

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're on the lookout for a Telephonic Nurse Case Manager (LPN) to join our growing team! As a Telephonic Nurse Case Manager, 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 Case Management 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, home-based position. Florida residency highly preferred; this role requires working on Eastern Time zone hours.



Key Responsibilities

• Providing telephonic case management in a Workers’ Compensation environment while 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
• Ensuring appropriate, progressive education is provided to the injured employee in a consistent manner while documenting in the system
• Identifying barriers to recovery and formulating a plan to overcome the barriers
• Clinically evaluating the recovery needs of an injured employee after the initial contact assessment and providing ongoing assessment of health and medical records
• Evaluating treatment plans while tracking and modifying appropriately, and documenting outcomes; developing alternative treatment plans as necessary
• 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

Skills, knowledge & expertise

• LPN (Florida licensure required; Florida residency highly preferred) with a minimum of three years clinical experience (orthopedic, neurological, neuromuscular, ICCU, industrial or occupational)
• At least one (1) year of Florida Workers’ Compensation or occupational Case Management experience preferred
• Bilingual (English/Spanish) highly preferred
• Proactive, independent, dependable, and takes initiative with consistent follow through
• Superb written and verbal communication skills conducted in a timely manner with diverse audiences
• Superior time management skills with capability of working with and meeting deadlines
• Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment
• Excellent team player with interpersonal skills
• High level attention to detail with ability to utilize decision making and problem-solving skills
• Capable of working collaboratively and independently with minimal supervision
• Exhibit discretion with sensitive and confidential information

Benefits

Benefits
At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our…