[Hiring] Telephonic Case Manager @Sedgwick

Role Description

While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services.

• Perform 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 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 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.

Qualifications

• 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.

Requirements

• 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.
• Thrives when everyone is working towards the same vision/goals.

Benefits

• Diverse and comprehensive benefits including medical, dental, vision, 401K, PTO and more beginning your first day.