Remote RN Telephonic Case Manager

Sedgwick; Concord (NH); Remote; USD 73,000 - 75,000; Full time

Benefits offered by this job

Medical plans

Dental & Vision plans

Tuition reimbursement

401K with company match

PTO 4 weeks

Job summary

Sedgwick is seeking a Telephonic Case Manager for a full-time, remote role in the United States. You will partner with injured workers, employers and providers to craft a case management strategy that promotes medical recovery and a successful return to work.

The ideal candidate holds an RN license with BSN preferred and possesses clinical and case management expertise to navigate complex conditions while delivering compassionate, compliant service.

Qualifications

• Current unrestricted RN license in the United States required.
• BSN degree from an accredited college or university preferred or equivalent work experience.
• Certification in case management, rehabilitation nursing or related specialty is highly preferred.

Responsibilities

• Performs initial and ongoing clinical assessment via telephone to evaluate the injured worker’s injury and needs.
• Communicates effectively with the claims examiner, client, injured worker, attorney, and supervisor.
• Identifies issues related to delayed recovery or return to work and develops solutions.
• Negotiates treatment and disability duration with providers using medical and disability duration guidelines.
• Identifies opportunities to expedite care for cost containment and timely recovery.
• Provides recommendations for alternative clinical resources to support claim resolution.
• Maintains client privacy and adheres to regulatory standards.

Skills

RN license

Case management

Clinical knowledge

Education

BSN degree

Case management certification

Job description

Sedgwick is seeking a Telephonic Case Manager for a full-time, remote role in the United States. You will partner with injured workers, employers and providers to craft a case management strategy that promotes medical recovery and a successful return to work.

The ideal candidate holds an RN license with BSN preferred and possesses clinical and case management expertise to navigate complex conditions while delivering compassionate, compliant service.