Remote RN Case Manager – Workers' Comp Advocate

Sedgwick; Texas; Remote; USD 78,000 - 85,000; Full time

Benefits offered by this job

Three medical, and two dental & vision

Tuition reimbursement

401K with company match (50%)

4 weeks PTO

Job summary

Sedgwick is seeking an RN with workers' compensation case management experience for a fully remote role in the United States. The ideal candidate will collaborate with injured workers, employers, and medical providers to develop and execute a comprehensive recovery and return-to-work strategy.

Required are an active RN license, a BSN preferred, and 1.5 years of relevant experience. This position emphasizes advocacy, communication, and coordination of medical services from a remote setting.

Qualifications

• Current unrestricted RN license in the United States required.
• Bachelor's degree in nursing (BSN) preferred. Certification in case management or related specialty highly preferred.
• Remote work environment allowed; state compact eligibility preferred but not required.

Responsibilities

• Performs initial and ongoing clinical assessment via telephone to evaluate injury, treatment, psychosocial needs and support systems.
• Effectively communicates with claims examiner, client, injured worker, attorney and supervisor to coordinate care.
• Identifies delays in recovery or return to work and solves problems with creative thinking.
• Negotiates treatment and disability duration with providers following medical guidelines and quality standards.
• Identifies opportunities to expedite care for cost containment and timely recovery.
• Provides recommendations for alternate clinical resources to support claim resolution.
• Maintains client privacy, confidentiality and adherence to ethical and regulatory standards.

Skills

Case management

RN license

Remote work

Communication

Advocacy

Education

Bachelor's degree in nursing (BSN)

Current unrestricted RN license

Job description

Sedgwick is seeking an RN with workers' compensation case management experience for a fully remote role in the United States. The ideal candidate will collaborate with injured workers, employers, and medical providers to develop and execute a comprehensive recovery and return-to-work strategy.

Required are an active RN license, a BSN preferred, and 1.5 years of relevant experience. This position emphasizes advocacy, communication, and coordination of medical services from a remote setting.