Remote RN Case Manager — Return-to-Work Advocate

Sedgwick Claims Management Services Ltd; Northern (KY); Hybrid; USD 78,000 - 85,000; Full time

Benefits offered by this job

Medical plans

Dental & Vision plans

401(k) matching

PTO 4 weeks

Tuition reimbursement

Job summary

Sedgwick Claims Management Services Ltd is seeking an experienced RN Case Manager to support injured workers in a remote, collaborative environment. You will develop and implement case management strategies to facilitate medical recovery and return-to-work through advocacy and coordination with medical providers.

The ideal candidate holds an unrestricted RN license in the U.S., a BSN, and case management certification.

Qualifications

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

Responsibilities

• Perform initial and ongoing clinical assessment via telephone to evaluate injury, treatment needs and psychosocial factors.
• Effectively communicate with claims examiner, client, injured worker, attorney and supervisor.
• Identify issues delaying recovery or return to work and problem-solve with clinical judgment.
• Negotiate treatment and disability duration with providers using medical guidelines and quality standards.
• Identify opportunities to expedite care for cost containment and timely recovery.
• Provide recommendations for alternate clinical resources to support claim resolution.
• Maintain client privacy and confidentiality and uphold ethical, legal, and regulatory standards.

Skills

RN license

Case management

Communication

Advocacy

Education

BSN

Case management certification

Job description

Sedgwick Claims Management Services Ltd is seeking an experienced RN Case Manager to support injured workers in a remote, collaborative environment. You will develop and implement case management strategies to facilitate medical recovery and return-to-work through advocacy and coordination with medical providers.

The ideal candidate holds an unrestricted RN license in the U.S., a BSN, and case management certification.