Case Manager
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Ohio • United States
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Salary
💰 $70,000 - $73,000 per year
About the role
- Perform initial and ongoing clinical assessment via telephone calls to client (injured employee), employer, physician and attorney as indicated; assesses client’s situation for psychosocial needs, cultural implications and support systems in place
- Create a case management plan based on the assessment with measurable goals and objectives utilizing evidence-based criteria; monitors ongoing progress toward these goals and objectives; implements plan through case management interventions and communication with all parties to reach desired goals and objectives
- Evaluate need for alternative treatment
- Negotiate appropriate level and intensity of care and disability duration with providers through use of medical and disability duration guidelines, adhering to quality assurance standards
- Negotiate and coordinate a prompt return to work with employer
- Measure interventions to determine the outcome of the case manager's involvement to include clinical, financial, variance, quality of life, and client satisfaction; maintains accurate record of management including costs, savings and demographic data
- Provide case direction and supervision to field case specialists when on-site intervention is required; ensures quality and appropriate service delivery
- Communicate effectively with handling claims examiner, client, claimant, attorney and supervisor
- Maintain client's privacy and confidentiality, promotes client safety and advocacy; and adheres 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
- Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of fulltime equivalent providing direct clinical care to the consumer
- Knowledge of workers' compensation laws and regulations
- Excellent oral and written communication including presentation skills
- PC literate including Microsoft Office products
Benefits
- Three Medical plans
- Two dental plans
- Tuition reimbursement eligible
- 401K plan that matches 50% on every $ you put in up to the first 6% you save
- 4 weeks PTO your first full year
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical assessmentcase managementevidence-based criteriatreatment evaluationnegotiationquality assuranceoutcome measurementsupervisionclient advocacyprivacy and confidentiality
Soft Skills
communicationpresentation skillsinterpersonal skillsorganizational skillsleadership
Certifications
RN licensecertification in case managementcertification in rehabilitation nursing