Telephonic Case Manager

🔥 0 minutes ago

🏈 Alabama – Remote

🏈 Alabama – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

👔 Manager

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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 • 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 or return-to-work issues and solve problems creatively • 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 safety and advocacy, and follow 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 • 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

• 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 to choose from • Two dental and vision plans to choose from • Tuition reimbursement • 401K plan matching 50% on every dollar contributed up to the first 6% saved • 4 weeks PTO in the first full year • Blended work environment • Ongoing learning and professional growth opportunities • Strong team environment and culture of support • Recognition and celebration of achievements