Hybrid RN Case Manager: Telephonic Care & Return-to-Work

Sedgwick; Baltimore (MD); Hybrid; USD 70,000 - 88,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k and matching

PTO and more

Job summary

Sedgwick is seeking a Telephonic Case Manager in Baltimore, MD. This hybrid role requires onsite Tuesdays and Thursdays at the Baltimore - St. Paul office, with remote work on other days.

You will coordinate medical services, advocate for injured workers, and collaborate with employers, providers, and attorneys to facilitate recovery and return-to-work outcomes. Ideal candidates will have an RN license, BSN, and case management experience, with a focus on patient advocacy, communication, and

Qualifications

• Current unrestricted RN license(s) in a state or territory of the United States required.
• Bachelor’s degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
• Certification in case management, rehabilitation nursing or a related specialty is highly preferred.

Responsibilities

• Performs initial and ongoing clinical assessment via telephone to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems.
• Effectively communicates and builds relationships with the claims examiner, client, injured worker, attorney and supervisor.
• Identifies issues related to delayed recovery and return to work and problem solves with a creative thinking approach.
• Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality.
• Identifies opportunities to expedite care for cost containment and timely medical recovery; provides recommendations for alternative clinical resources to support claim resolution.
• Maintains client's privacy and confidentiality, promotes client safety and advocacy; adheres to ethical, legal, accreditation and regulatory standards.

Skills

Clinical assessment by phone

Communication with stakeholders

Case management experience

Advocacy

Education

Bachelor’s degree in nursing (BSN)

RN license

Case management certification (preferred)

Job description

Sedgwick is seeking a Telephonic Case Manager in Baltimore, MD. This hybrid role requires onsite Tuesdays and Thursdays at the Baltimore - St. Paul office, with remote work on other days.

You will coordinate medical services, advocate for injured workers, and collaborate with employers, providers, and attorneys to facilitate recovery and return-to-work outcomes. Ideal candidates will have an RN license, BSN, and case management experience, with a focus on patient advocacy, communication, and