RN, Telephonic Case Manager

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $78k - $85k / year

⏰ Full Time

🟢 Junior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Sedgwick

WebsiteLinkedInAll Job Openings

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 • Apply medical/clinical or rehabilitation knowledge to manage complex medical conditions, treatment planning, and recovery • 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 and problem-solve creatively • 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 client privacy and confidentiality, promote client safety and advocacy, and adhere to ethical, legal, accreditation, and regulatory standards

🎯 Requirements

• Must reside in the United States • Current unrestricted RN license(s) in a state or territory of the United States required • Must have a compact license • 1.5 years of prior workers compensation experience 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 assessments via telephone • Ability to communicate and build relationships with claims examiners, clients, injured workers, attorneys, and supervisors • Knowledge of medical and disability duration guidelines • Ability to handle multiple priorities and meet deadlines • Computer keyboarding ability • Hearing, vision, and talking abilities

🏖️ Benefits

• Work-life balance • Remote work environment • Flexibility and autonomy in daily work, location, and career path • Professional development opportunities • Continuing education credits • Team building initiatives • 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 in the first full year • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Additional voluntary benefits