Description
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.
This Field Case Manager will cover the South Jersey region, and surrounding areas and must live in this area in order to be considered.
The primary purpose of the role is 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.
Essential responsibilities may include:
- Performing 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 communicating and building relationships with the claims' examiner, client, injured worker, attorney, and supervisor.
- Identifying issues related to delayed recovery and/or return to work and problem-solving with a creative thinking approach.
- Negotiating treatment and disability duration with providers through the use of medical and disability duration guidelines, adhering to quality.
- Identifying opportunities to expedite care for cost containment and timely medical recovery.
- Providing recommendations for alternate clinical resources to support claim resolution.
- Maintaining client's privacy and confidentiality, promoting client safety and advocacy, and adhering to ethical, legal, accreditation, and regulatory standards.
Education and licensing requirements include:
- 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.
We offer a 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.
The range of starting pay for this role is $85,000-$88,000 + bonus eligible.