Remote Telephonic Case Manager

Socket.dev; United States; Remote; USD 73,000 - 75,000; Full time

Benefits offered by this job

Health insurance

401k match

PTO 4 weeks

Tuition assistance

Job summary

Sedgwick is seeking a Telephonic Case Manager to partner with injured workers, employers, and medical providers to coordinate care and return-to-work strategies by phone. You will assess medical needs, advocate for effective treatment, and coordinate with multiple stakeholders to manage complex cases while supporting a remote work environment and work-life balance.

Ideal candidates will have an RN license in the United States, BSN preferred, and relevant case management certification; strong

Qualifications

• Current unrestricted RN license in the United States.
• 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.

Skills

Clinical assessment

Communication skills

Problem solving

Judgment under stress

Education

RN license (US)

BSN degree

Case management certification preferred

Tools

Computer skills

Job description

Sedgwick is seeking a Telephonic Case Manager to partner with injured workers, employers, and medical providers to coordinate care and return-to-work strategies by phone. You will assess medical needs, advocate for effective treatment, and coordinate with multiple stakeholders to manage complex cases while supporting a remote work environment and work-life balance.

Ideal candidates will have an RN license in the United States, BSN preferred, and relevant case management certification; strong