Remote RN Telephonic Case Manager for Return-to-Work

Sedgwick; Denver (CO); Remote; USD 78,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision plans

401k plan with company match

PTO – 4 weeks

Remote work environment

Job summary

Sedgwick is seeking an RN Telephonic Case Manager to join our US telecommuter team. You will partner with injured workers, employers, and providers to design a case management strategy that promotes medical recovery and a successful return to work through advocacy and coordination.

Must reside in the United States, hold an active RN license with a compact license, and have 1.5 years of workers’ compensation experience. We offer a remote work environment and comprehensive benefits.

Qualifications

• Current unrestricted RN license in the United States.
• Bachelor's degree in nursing (BSN) or equivalent work experience preferred.
• Certification in case management or rehabilitation nursing is highly preferred.

Responsibilities

• Perform initial and ongoing clinical assessment via telephone to evaluate injury, treatment, psychosocial needs and support systems.
• Communicate effectively with claims examiner, client, injured worker, attorney and supervisor.
• Identify delays in recovery and return‑to‑work issues and problem solve.
• Negotiate treatment and disability duration with providers following guidelines.
• Identify opportunities to expedite care for cost containment.
• Provide recommendations for alternative clinical resources to support claim resolution.
• Maintain client privacy and adhere to regulatory standards.

Skills

RN license

Telephonic case management

Medical/rehabilitation knowledge

Communication

Remote work

Education

BSN or equivalent

Case management certification (preferred)

Tools

EMR systems

Job description

Sedgwick is seeking an RN Telephonic Case Manager to join our US telecommuter team. You will partner with injured workers, employers, and providers to design a case management strategy that promotes medical recovery and a successful return to work through advocacy and coordination.

Must reside in the United States, hold an active RN license with a compact license, and have 1.5 years of workers’ compensation experience. We offer a remote work environment and comprehensive benefits.