[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.

We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

• Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.
• Work in a rewarding career making an impact on the health and lives of others, in a remote work environment.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for effective medical treatment for injured employees.
• Enable our Caring counts® mission supporting injured employees from leading brands and organizations.
• Be part of a rapidly growing, industry-leading global company known for excellence and customer service.
• Celebrate your career achievements through professional development opportunities, continuing education credits, team building initiatives, and more.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

Qualifications

• 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.

Requirements

• 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.

Benefits

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