Telephonic Case Manager

Sedgwick

Telephonic Case Manager at Sedgwick facilitating recovery for injured workers through advocacy and coordination of medical services. Remote role with flexibility and impact on health and lives.

Posted 7/23/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $72,000 - $75,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical assessment, effective communication, and relationship building with stakeholders, while adhering to ethical and regulatory standards. Proficient in negotiating treatment plans and identifying opportunities for cost-effective care and timely recovery.

Highest-signal resume keywords

Current RN LicenseClinical AssessmentCase Management CertificationEffective CommunicationCreative Problem Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentNegotiationTreatment PlanningCost ContainmentMedical Guidelines

Soft Skills

Relationship BuildingCreative ThinkingAdvocacyConfidentiality

Certifications & Qualifications

Case Management CertificationRehabilitation Nursing Certification

Industry Keywords

Injury AssessmentMedical TreatmentPsychosocial NeedsRegulatory StandardsClient Safety

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

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