Remote RN Telephonic Case Manager

Sedgwick Claims Management Services Ltd; Arizona; Hybrid; USD 78,000 - 85,000; Full time

Benefits offered by this job

3 medical plans

Dental & vision package

Tuition reimbursement 401K match

4 weeks PTO

401K with match

Job summary

Sedgwick is seeking an RN Telephonic Case Manager to coordinate care for injured workers, advocate for timely recovery, and support return-to-work through remote coordination with providers, employers, and workers. The role emphasizes clinical assessment, communication, and cost-conscious care planning.

The ideal candidate holds an unrestricted RN license, BSN preferred, and has experience in workers' compensation. This remote role offers flexible work arrangements and comprehensive benefits.

Qualifications

• RN license required.
• BSN preferred (education) noted by employer.

Responsibilities

• Performs initial and ongoing clinical assessment via telephone to evaluate injury, treatment needs, psychosocial factors and support.
• Communicates effectively with claims examiner, client, injured worker, attorney and supervisor.
• Identifies delays in recovery and return-to-work; uses creative problem solving to address barriers.
• Negotiates treatment and disability duration with providers using established guidelines.
• Identifies opportunities to expedite care for cost containment and recovery.
• Provides recommendations for alternative clinical resources to support claim resolution.
• Maintains client privacy, confidentiality and promotes safety; adheres to standards.

Skills

Case management

Telephonic care coordination

Nursing assessment

Communication

Education

RN license

BSN preferred

Job description

Sedgwick is seeking an RN Telephonic Case Manager to coordinate care for injured workers, advocate for timely recovery, and support return-to-work through remote coordination with providers, employers, and workers. The role emphasizes clinical assessment, communication, and cost-conscious care planning.

The ideal candidate holds an unrestricted RN license, BSN preferred, and has experience in workers' compensation. This remote role offers flexible work arrangements and comprehensive benefits.