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Telephonic Case Manager

🕒 June 9

🇺🇸 United States – Remote

💵 $73k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Where this job comes from

Posted on Sedgwick's careers page, not through a job board

First seen by Remote Rocketship June 9

Still open on Sedgwick's site. Checked 12 minutes ago.

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 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 • Perform initial and ongoing clinical assessments by telephone • 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 delayed recovery and return-to-work issues • 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 and promote client safety and advocacy • 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 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 via telephone • Knowledge of medical and disability duration guidelines • Ability to handle work-related stress and multiple priorities • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to meet deadlines • Computer keyboarding ability • Hearing, vision, and talking abilities

🏖️ Benefits

• 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 • Other additional voluntary benefits

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