Remote RN Telephonic Case Manager

Sedgwick; Bismarck (ND); Remote; USD 73,000 - 75,000; Full time

Benefits offered by this job

Blended work environment

Tuition reimbursement

401K match

PTO 4 weeks

Health, dental, vision plans

Job summary

Sedgwick, a global leader in risk and claims management, seeks a Telephonic Case Manager to support injured workers from a remote, US-based setting. You will assess medical needs, coordinate treatment, and advocate for timely return-to-work through phone-based case management.

Ideal candidates hold an RN license, BSN, and preferably a case management certification. The role offers a blended work environment, comprehensive benefits, and opportunities for professional growth within a global

Qualifications

• Current unrestricted RN license 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 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.

Education

RN license in US

BSN degree

Case management certification (preferred)

Job description

Sedgwick, a global leader in risk and claims management, seeks a Telephonic Case Manager to support injured workers from a remote, US-based setting. You will assess medical needs, coordinate treatment, and advocate for timely return-to-work through phone-based case management.

Ideal candidates hold an RN license, BSN, and preferably a case management certification. The role offers a blended work environment, comprehensive benefits, and opportunities for professional growth within a global