Remote RN Case Manager – Telephonic Care & Return-to-Work

Sedgwick Claims Management Services Ltd; Northern (KY); Hybrid; USD 70,000 - 72,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401k

PTO

Job summary

Sedgwick is hiring a Registered Nurse for a remote case management role, partnering with injured workers, employers, and medical providers to plan recovery and return-to-work through advocacy and coordination.

The ideal candidate holds an unrestricted RN license in the United States, a BSN, and preferably a case management certification, with flexibility to work remotely in Kentucky. The role offers comprehensive benefits and a supportive, values-driven culture.

Qualifications

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

Responsibilities

• Performs initial and ongoing clinical assessment via telephone calls 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/or 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 alternate clinical resources to support claim resolution.
• Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.

Skills

RN license

Communication

Case management knowledge

Education

BSN

Case management certification

Job description

Sedgwick is hiring a Registered Nurse for a remote case management role, partnering with injured workers, employers, and medical providers to plan recovery and return-to-work through advocacy and coordination.

The ideal candidate holds an unrestricted RN license in the United States, a BSN, and preferably a case management certification, with flexibility to work remotely in Kentucky. The role offers comprehensive benefits and a supportive, values-driven culture.