Telephonic Case Manager

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $72k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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This company has sponsored H1B visas in the past.

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

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

• Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems. • Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor. • Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach. • Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality. • Identifies opportunities to expedite care for cost containment and timely medical recovery. • Provides recommendations for alternate clinical resources to support claim resolution. • Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres 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.

🏖️ Benefits

• Offering flexibility and autonomy. • Supporting meaningful work that promotes critical thinking and problem solving. • Providing on-going learning and professional growth opportunities. • Promoting a strong team environment and a culture of support. • Recognizing your successes and celebrating your achievements. • Diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.