Telephonic Case Manager

🕒 Junho 9

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $73.000 - $75.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Sedgwick

Sedgwick

10.000+ funcionários

🏗️ Construção

💼 Consultoria

🏥 Saúde

Construction • Consulting • Healthcare

A Sedgwick é uma fornecedora global de soluções de tecnologia para riscos, benefícios e negócios integrados. Eles ajudam pessoas e organizações a gerenciar e mitigar riscos com soluções em administração de sinistros de acidentes, saúde, invalidez, compensação por desemprego e responsabilidade, entre outros. A Sedgwick oferece serviços como administração de sinistros, consultoria de construção, contabilidade forense e engenharia forense. Suas especialidades incluem restauração de propriedades, proteção de marcas e prevenção de perdas em vários setores, incluindo agricultura, construção e setores ambientais. A empresa enfatiza diversidade, equidade e inclusão (DEI) e práticas ambientais, sociais e de governança (ESG).

Descrição

• Partner with injured workers, employers, and medical providers to create case management strategies • Facilitate medical recovery and successful return to work through advocacy, communication, and coordination of medical services • Apply medical/clinical or rehabilitation knowledge to manage complex medical conditions, treatment planning, and recovery • Perform initial and ongoing clinical assessments via telephone • Evaluate injuries, treatment, psychosocial needs, cultural implications, and support systems • Build relationships with claims examiners, clients, injured workers, attorneys, and supervisors • Identify delayed recovery and return-to-work issues and develop solutions • Negotiate treatment and disability duration with providers using medical and disability-duration guidelines • Identify opportunities to expedite care for cost containment and timely recovery • Recommend alternate clinical resources to support claim resolution • Maintain privacy and confidentiality, promote safety and advocacy, and follow ethical, legal, accreditation, and regulatory standards

🎯 Requisitos

• Current unrestricted RN license(s) in a state or territory of the United States required • Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred • Certification in case management, rehabilitation nursing, or a related specialty highly preferred • Medical/clinical or rehabilitation knowledge and experience • Ability to perform clinical assessment and evaluate injuries, medical treatment, psychosocial needs, cultural implications, and support systems • Ability to communicate effectively with claims examiners, clients, injured workers, attorneys, and supervisors • Ability to handle work-related stress and multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding ability • Hearing, vision, and talking abilities

🏖️ Benefícios

• Remote work environment • Flexibility and autonomy in daily work, location, and career path • Professional development opportunities • Continuing education credits • Team building initiatives • Diverse and comprehensive benefits package • Three medical plans • Two dental and vision plans • Tuition reimbursement • 401K plan matching 50% of contributions up to the first 6% saved • 4 weeks PTO during the first full year • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Additional voluntary benefits

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