About the role
Sedgwick, a global leader in claims and risk management, is hiring a remote RN Telephonic Case Manager to guide injured workers through recovery and back to work. You'll partner by phone with injured employees, employers, and treating physicians to build and manage a medical recovery plan, acting as the clinical advocate who keeps treatment on track and communication flowing between every party involved in a workers' compensation claim.
Responsibilities
- Conduct initial and ongoing clinical telephone assessments covering the injured worker's condition, treatment plan, psychosocial needs, and support system
- Build working relationships with the claims examiner, employer, injured worker, attorney, and supervisor to keep every party aligned on the recovery plan
- Identify factors that could delay recovery or return to work, and step in early with a plan to address them
- Apply medical and disability-duration guidelines to negotiate appropriate treatment timelines with providers
- Spot opportunities to speed up care delivery and contain costs without compromising outcomes
- Recommend alternate clinical resources when the current treatment path isn't working
- Maintain strict privacy and confidentiality, and follow all applicable ethical, legal, accreditation, and regulatory standards
Requirements
- Current, unrestricted Compact RN license (multistate license required)
- At least 1.5 years of prior workers' compensation case management experience
- Bachelor's degree in nursing (BSN) preferred, or equivalent work experience
- Case management, rehabilitation nursing, or related specialty certification highly preferred
- Comfortable working independently by phone in a high-volume, deadline-driven remote environment
- Strong clinical judgment, critical thinking, and verbal communication skills
What we offer
- Fully remote, telecommuter-based role
- Medical, dental, and vision plan options
- 401(k) with company match up to 50% of the first 6% contributed
- 4 weeks of PTO in your first full year
- Tuition reimbursement and ongoing professional development
- Strong team culture with formal recognition programs