Telephonic Case Manager

6 days ago


Toledo, Ohio, United States Sedgwick Full time
About the Role

We are seeking a skilled Telephonic Case Manager to join our team at Sedgwick. As a Telephonic Case Manager, you will play a critical role in facilitating medical recovery and successful return to work for injured workers.

Key Responsibilities
  • Perform initial and ongoing clinical assessments via telephone calls to evaluate injured workers' injuries, medical treatment, psychosocial needs, cultural implications, and support systems.
  • Effectively communicate and build relationships with claims examiners, clients, injured workers, attorneys, and supervisors.
  • 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 privacy and confidentiality, promote client safety and advocacy, and adhere to ethical, legal, accreditation, and regulatory standards.
Requirements
  • 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.
What We Offer
  • Flexibility and autonomy in your daily work, location, and career path.
  • A rewarding career making an impact on the health and lives of others.
  • A remote work environment.
  • Opportunities for professional growth and development.
  • A diverse and comprehensive benefits package, including medical, dental, vision, 401K, PTO, and more.
Why Join Us?

Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. We are committed to doing the right thing and making a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, enjoys a challenge, and above all, cares, there's a place for you here.



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