Remote RN Telephonic Case Manager

Sedgwick; Salem (OR); Remote; USD 70,000 - 78,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401K with matching

PTO

Job summary

Sedgwick is seeking a Telephonic Case Manager to collaborate with injured workers, employers, and medical providers. You will develop case management strategies to facilitate recovery and a successful return to work through advocacy and coordinated medical services.

The role emphasizes remote work, flexible daily responsibilities, and opportunities for professional development while supporting injured employees across diverse brands and organizations.

Qualifications

• Current unrestricted RN license in a state in the United States.
• Bachelor’s degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred.
• 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

RN license

Clinical assessment

Communication

Case management

Education

BSN

Job description

Sedgwick is seeking a Telephonic Case Manager to collaborate with injured workers, employers, and medical providers. You will develop case management strategies to facilitate recovery and a successful return to work through advocacy and coordinated medical services.

The role emphasizes remote work, flexible daily responsibilities, and opportunities for professional development while supporting injured employees across diverse brands and organizations.