Case Manager

🕒 June 9

🇺🇸 United States – Remote

💵 $73k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 45%

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Logo of Sedgwick

Sedgwick

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Partner with the injured worker, employer, and medical providers to create a case management strategy • Facilitate medical recovery and successful return to work through advocacy, communication and coordination of medical services • Perform initial and ongoing clinical assessments via telephone calls • Evaluate injuries, medical treatment, psychosocial needs, cultural implications, and support systems • Communicate and build relationships with claims examiners, clients, injured workers, attorneys, and supervisors • Identify issues related to delayed recovery and/or return to work • Problem solve using a creative-thinking approach • Negotiate treatment and disability duration with providers using medical and disability duration guidelines • Identify opportunities to expedite care for cost containment and timely medical recovery • Recommend alternate clinical resources to support claim resolution • Maintain client privacy and confidentiality, promote client safety and advocacy, and adhere to ethical, legal, accreditation, and regulatory standards

🎯 Requirements

• 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 • Medical/clinical or rehabilitation knowledge and experience • Ability to apply knowledge to complex medical conditions, treatment planning and recovery from illness or injury • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Ability to handle multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding ability • Hearing, vision and talking abilities

🏖️ Benefits

• Three medical, and two dental & vision plans to choose from • Tuition reimbursement • 401K plan that matches 50% on every $ you put in up to the first 6% you save • 4 weeks PTO your first full year • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Professional development opportunities • Continuing education credits • Team building initiatives • Blended work environment • On-going learning and professional growth opportunities

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