RN Telephonic Case Manager

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

As a RN Telephonic Case Manager, your primary purpose will be to create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication, and coordination of medical services, while partnering with the injured worker, employer, and medical providers.

Responsibilities:

• Perform initial and ongoing clinical assessments via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications, and support systems.
• Effectively communicate and build relationships with the claims' examiner, client, injured worker, attorney, and supervisor.
• Identify issues related to delayed recovery and/or return to work and problem-solve with a creative thinking approach.
• Negotiate treatment and disability duration with providers through the use of medical and disability duration guidelines, adhering to quality.
• Identify opportunities to expedite care for cost containment and timely medical recovery.
• Provide recommendations for alternate clinical resources to support claim resolution.
• Maintain client's privacy and confidentiality, promote client safety and advocacy, and 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 is highly preferred.
• 1.5 years of prior workers' compensation case management experience.

Benefits:

• Offering a blended work environment.
• 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 package including:
• Three medical, and two dental & vision plans to choose from.
• Tuition reimbursement.
• 401K plan that matches 50% on every $ you put in up to the first 6% you save.
• 4 weeks PTO your first full year.

Salary Range: $78,000 - $85,000