Remote RN Telephonic Case Manager: Return-to-Work Advocate

Sedgwick; Montpelier (VT); Remote; USD 73,000 - 75,000; Full time

Benefits offered by this job

Blended work environment

Tuition reimbursement

401K with match

4 weeks PTO

Job summary

Sedgwick is seeking a Telephonic Case Manager for a US-based, fully remote, full-time role. You will partner with injured workers, employers, and medical providers to plan and coordinate medical care and recovery, advocating for effective and efficient treatment while supporting return-to-work goals.

The ideal candidate holds a current US RN license, preferably a BSN, and a case management certification is highly preferred.

Qualifications

• RN license in the United States is required.
• BSN from an 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.
• Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.

Education

RN license in US

BSN preferred

Case management certification preferred

Job description

Sedgwick is seeking a Telephonic Case Manager for a US-based, fully remote, full-time role. You will partner with injured workers, employers, and medical providers to plan and coordinate medical care and recovery, advocating for effective and efficient treatment while supporting return-to-work goals.

The ideal candidate holds a current US RN license, preferably a BSN, and a case management certification is highly preferred.