Remote RN Telephonic Case Manager

Sedgwick; Lansing (MI); Remote; USD 73,000 - 75,000; Full time

Benefits offered by this job

Blended work environment

Professional growth opportunities

Tuition reimbursement

4 weeks PTO

401K matching

Job summary

Sedgwick, a global leader in risk and claims administration, is hiring a Telephonic Case Manager. You will work with injured workers, employers and providers to develop a case management strategy, facilitate medical recovery and return-to-work through advocacy and coordination.

The role offers remote work, flexibility, autonomy, and opportunities for professional growth. Requires nursing licensure and relevant case-management experience; supportive benefits and a people-first culture.

Qualifications

• Active, unrestricted RN license in the United States.
• BSN from an accredited college or university 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 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.

Skills

Registered Nurse license

BSN

Case management certification

Education

RN license

Bachelor of Science in Nursing (BSN)

Case management certification

Job description

Sedgwick, a global leader in risk and claims administration, is hiring a Telephonic Case Manager. You will work with injured workers, employers and providers to develop a case management strategy, facilitate medical recovery and return-to-work through advocacy and coordination.

The role offers remote work, flexibility, autonomy, and opportunities for professional growth. Requires nursing licensure and relevant case-management experience; supportive benefits and a people-first culture.