Remote RN Telephonic Case Manager

Sedgwick Claims Management Services Ltd; Kentucky; Hybrid; USD 70,000 - 72,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with matching

Paid time off (PTO)

Job summary

Sedgwick is seeking a Telephonic Case Manager (RN) to collaborate with injured workers, employers, and medical providers. You will assess medical needs by phone, develop a return-to-work plan, and advocate for timely, appropriate care while maintaining privacy and quality standards.

The role offers remote work with flexible daily routines, ongoing professional development, and a supportive team culture. A BSN and active RN license in the U.S.

Qualifications

• RN license required in the United States.
• BSN from an accredited program preferred.
• Certification in case management or rehabilitation nursing is highly preferred.

Responsibilities

• Performs initial and ongoing clinical assessment via telephone to evaluate injury, treatment, and support needs.
• Communicates effectively with claims examiner, client, injured worker, attorney, and supervisor.
• Identifies barriers to recovery and return-to-work; applies creative problem solving.
• Negotiates treatment and disability duration with providers using guidelines and quality standards.
• Suggests alternative clinical resources to support claim resolution and cost containment.
• Maintains client privacy and confidentiality and adheres to regulatory standards.

Skills

RN license

Clinical assessment via telephone

Communication with stakeholders

Education

RN license in the United States

BSN

Case management certification (preferred)

Job description

Sedgwick is seeking a Telephonic Case Manager (RN) to collaborate with injured workers, employers, and medical providers. You will assess medical needs by phone, develop a return-to-work plan, and advocate for timely, appropriate care while maintaining privacy and quality standards.

The role offers remote work with flexible daily routines, ongoing professional development, and a supportive team culture. A BSN and active RN license in the U.S.