Hybrid RN Case Manager: Return-to-Work Advocate

Sedgwick Claims Management Services Ltd; Baltimore, Saint Paul (MD, MN); Hybrid; USD 70,000 - 88,000; Full time

Benefits offered by this job

Medical, dental, vision

401k

PTO

Job summary

Sedgwick is seeking a Telephonic Case Manager in Baltimore, offering hybrid work with onsite Tuesdays and Thursdays at 7 St. Paul Street, Suite 450.

You will support injured workers by coordinating medical services, advocating for timely recovery, and communicating with employers, clinicians and attorneys to facilitate a successful return to work. The ideal candidate holds an active RN license in the U.S., a BSN, and preferably a case-management certification.

Qualifications

• Current unrestricted RN license in the United States.
• Bachelor's degree in nursing (BSN) from an accredited college or university.
• Certification in case management or rehabilitation nursing is highly preferred.

Responsibilities

• Performs initial and ongoing clinical assessment via telephone to evaluate injury, treatment, psychosocial needs, and support systems.
• Effectively communicates with the claims examiner, client, injured worker, attorney and supervisor.
• Identifies issues related to delayed recovery and return to work and problem solves accordingly.
• Negotiates treatment and disability duration with providers per guidelines, ensuring quality.
• Identifies opportunities to expedite care for cost containment and timely recovery.
• Provides recommendations for alternate clinical resources to support claim resolution.
• Maintains client privacy and confidentiality and adheres to ethical and regulatory standards.

Skills

Communication skills

Clinical assessment

Relationship-building

Education

RN license in US

BSN

Case management certification

Job description

Sedgwick is seeking a Telephonic Case Manager in Baltimore, offering hybrid work with onsite Tuesdays and Thursdays at 7 St. Paul Street, Suite 450.

You will support injured workers by coordinating medical services, advocating for timely recovery, and communicating with employers, clinicians and attorneys to facilitate a successful return to work. The ideal candidate holds an active RN license in the U.S., a BSN, and preferably a case-management certification.