Remote Telephonic Case Manager (RN)

Sedgwick; Dover (DE); Remote; USD 73,000 - 75,000; Full time

Benefits offered by this job

Medical, dental & vision plans

401K with company match

PTO: 4 weeks first year

Tuition reimbursement

Job summary

Sedgwick is seeking a Telephonic Case Manager (RN) for a fully remote role in the United States. You will partner with injured workers, employers, and medical providers to develop case management strategies aimed at medical recovery and successful return to work through advocacy and coordination of services.

The ideal candidate holds an active RN license in the US, BSN preferred, and case management or rehab nursing certification is strongly preferred.

Qualifications

• Current unrestricted RN license in a state or territory of the United States.
• 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

RN license (US)

BSN preferred

Certification in case management / rehabilitation nursing

Job description

Sedgwick is seeking a Telephonic Case Manager (RN) for a fully remote role in the United States. You will partner with injured workers, employers, and medical providers to develop case management strategies aimed at medical recovery and successful return to work through advocacy and coordination of services.

The ideal candidate holds an active RN license in the US, BSN preferred, and case management or rehab nursing certification is strongly preferred.