Telephonic Case Manager

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $70k - $78k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 issues related to delayed recovery 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 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 • Ability to manage complex medical conditions, treatment planning, and recovery from illness or injury • Ability to work with injured workers, employers, medical providers, claims examiners, clients, attorneys, and supervisors • Knowledge of medical and disability duration guidelines • Ability to adhere to ethical, legal, accreditation, and regulatory standards • Ability to maintain privacy and confidentiality

🏖️ Benefits

• Remote work environment • Flexibility and autonomy in daily work, location, and career path • Professional development opportunities • Continuing education credits • Team building initiatives • Medical, dental, and vision benefits • 401(k) and matching • Paid time off (PTO) • Disability and life insurance • Employee assistance program • Flexible spending account or health savings account • Additional voluntary benefits