Remote RN Telephonic Case Manager

Sedgwick Claims Management Services Ltd; Texas; Hybrid; USD 78,000 - 85,000; Full time

Benefits offered by this job

Medical, dental & vision plans

401(k) with company match

PTO

Disability and life insurance

Employee assistance program

Job summary

Sedgwick is hiring a Telephonic Case Manager (RN) to partner with injured workers, employers, and medical providers. You will develop a case management strategy to facilitate medical recovery and a successful return to work through advocacy and coordination of medical services.

Remote work is offered, with flexible scheduling and ongoing professional development. The ideal candidate has 1.5 years of workers’ compensation case management experience, an active RN license, and BSN preferred.

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

Bachelor's degree in nursing (BSN)

RN license

Job description

Sedgwick is hiring a Telephonic Case Manager (RN) to partner with injured workers, employers, and medical providers. You will develop a case management strategy to facilitate medical recovery and a successful return to work through advocacy and coordination of medical services.

Remote work is offered, with flexible scheduling and ongoing professional development. The ideal candidate has 1.5 years of workers’ compensation case management experience, an active RN license, and BSN preferred.