Remote RN Telephonic Case Manager

Sedgwick; Richmond (VA); Remote; USD 73,000 - 75,000; Full time

Benefits offered by this job

Medical plans (3)

Dental & vision plans (2)

Tuition reimbursement

401K with 50% match

PTO 4 weeks

Job summary

Sedgwick is hiring a Telephonic Case Manager for a US-based, remote role. The position focuses on partnering with injured workers, employers, and medical providers to create case management strategies that facilitate recovery and a successful return to work.

The ideal candidate will bring an RN license in good standing, a BSN preferred, and certification in case management or rehabilitation nursing is highly valued. The role offers a blended/remote work environment and comprehensive benefits.

Qualifications

• Current unrestricted RN license(s) 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

BSN preferred

Job description

Sedgwick is hiring a Telephonic Case Manager for a US-based, remote role. The position focuses on partnering with injured workers, employers, and medical providers to create case management strategies that facilitate recovery and a successful return to work.

The ideal candidate will bring an RN license in good standing, a BSN preferred, and certification in case management or rehabilitation nursing is highly valued. The role offers a blended/remote work environment and comprehensive benefits.