Overview
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.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Position: Telephonic Case Manager
PRIMARY PURPOSE OF THE ROLE: 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.
Responsibilities
Performs initial and ongoing clinical assessment via telephone 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 using medical and disability duration guidelines, adhering to quality standards.
Identifies opportunities to expedite care for cost containment and timely medical recovery.
Provides recommendations for alternate clinical resources to support claim resolution.
Maintains client privacy and confidentiality, promotes client safety and advocacy; adheres to ethical, legal, accreditation and regulatory standards.
Education and Licensing
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.
Taking Care of You
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.
Thrives when everyone is working towards the same vision/goals.
We offer diverse and comprehensive benefits including medical, dental, vision, 401K, PTO and more beginning your first day.
Compensation and Legal Note
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $73,000 - $75,000. A comprehensive benefits package is offered including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
“Always accepting applications.”
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
Next Steps
If your application is selected to advance to the next round, the recruiter will be in touch.
#nurse #telephoniccasemanager
About Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with advanced AI-enabled technology, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides caring that counts and solutions for a rapidly changing risk landscape. For more, see sedgwick.com