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Work From Home Telephonic Case Manager Jobs

Telephonic Case Manager

Sedgwick Claims Management Services Ltd

United States
Remote
USD 73,000 - 75,000
Today
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Telephonic Case Manager
Sedgwick Claims Management Services Ltd
Remote
USD 73,000 - 75,000
Full time
Today
Be an early applicant

Job summary

A leading claims management company is seeking a Telephonic Case Manager to facilitate medical recovery and return to work for injured employees. This role involves assessing injured workers' conditions, communicating with various stakeholders, and adhering to high ethical standards in a supportive, remote working environment. Candidates must hold a current RN license and preferably a BSN. A comprehensive benefits package is available, including medical, dental, and PTO.

Benefits

Medical and dental plans
401K plan with matching
Tuition reimbursement
4 weeks PTO

Qualifications

  • Current unrestricted RN license(s) in a state or territory of the United States required.
  • Bachelor's degree in nursing (BSN) preferred.
  • Certification in case management or rehabilitation nursing is highly preferred.

Responsibilities

  • Perform clinical assessment via telephone calls.
  • Communicate and build relationships with all stakeholders.
  • Identify issues related to recovery and problem-solving.
  • Negotiate treatment and disability duration with providers.
  • Adhere to ethical, legal, and regulatory standards.

Skills

Medical/clinical knowledge
Case management
Communication
Creative problem-solving

Education

Current unrestricted RN license
Bachelor's degree in nursing (BSN)
Certification in case management
Job description
Telephonic Case Manager page is loaded## Telephonic Case Managerlocations: US Telecommutertime type: Full timeposted on: Posted Todayjob requisition id: R70766By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceTelephonic Case Manager**PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services.We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.* Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.* Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment.* Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.* Enable our Caring counts mission supporting injured employees from some of the world’s best brands and organizations.* Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.* Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.* Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.**ESSENTIAL RESPONSIBLITIES MAY INCLUDE*** 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 AND LICENSING**Current unrestricted RN license(s) in a state or territory of the United States required. 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.******TAKING CARE OF YOU BY*** Offering a blended work environment.* Supporting meaningful work that promotes critical thinking and problem solving.* Providing on-going learning and professional growth opportunities.* Promoting a strong team environment and a culture of support.* Recognizing your successes and celebrating your achievements.* Thrives when everyone is working towards the same vision/goals.* We offer a diverse and comprehensive benefits package including: + Three Medical, and two dental plans to choose from. + Tuition reimbursement eligible. + 401K plan that matches 50% on every $ you put in up to the first 6% you save. + 4 weeks PTO your first full year.**NEXT STEPS**If your application is selected to advance to the next round, a recruiter will be in touch.#nurse #telephoniccasemanager*As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $73,000 - $75,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.*Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.## If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.## Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see
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* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.

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