Remote Telephonic Case Manager - RN

Sedgwick; Denver (CO); Remote; USD 73,000 - 75,000; Full time

Benefits offered by this job

Three medical plans, two dental &

Vision plans

Tuition reimbursement

401K plan with 50% match up to 6%

4 weeks PTO

Job summary

Sedgwick is seeking a Telephonic Case Manager (RN) to join remotely in an environment that blends meaningful patient advocacy with flexible work location. The role emphasizes clinical assessment, care coordination, and collaboration with claims teams to support injured workers’ recovery and return to work.

The ideal candidate holds an RN license in the United States, preferably a BSN, and may benefit from case management certifications.

Qualifications

• Current unrestricted RN license 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 to evaluate injury, medical treatment, psychosocial needs, and support systems.
• Effectively communicates with the claims examiner, client, injured worker, attorney and supervisor to coordinate care.
• Identifies issues related to delayed recovery and return to work and develops creative problem-solving approaches.
• Negotiates treatment and disability duration with providers using medical and disability duration guidelines, ensuring quality.
• Identifies opportunities to expedite care for cost containment and timely medical recovery.
• Provides recommendations for alternative clinical resources to support claim resolution.
• Maintains client privacy and confidentiality, promotes client safety and adheres to ethical, legal, accreditation and regulatory standards.

Skills

RN licensure

Case management

Healthcare communication

Education

BSN

Job description

Sedgwick is seeking a Telephonic Case Manager (RN) to join remotely in an environment that blends meaningful patient advocacy with flexible work location. The role emphasizes clinical assessment, care coordination, and collaboration with claims teams to support injured workers’ recovery and return to work.

The ideal candidate holds an RN license in the United States, preferably a BSN, and may benefit from case management certifications.