Field Case Manager

About This Role

This Field Case Manager role involves partnering with injured workers, employers, and medical providers to create case management strategies. The core purpose is to facilitate medical recovery and a successful return to work through advocacy, communication, and coordination of medical services. The position suits an enthusiastic candidate who thrives in a collaborative, remote environment and is driven to deliver great work.

Responsibilities

• Perform 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 communicate and build relationships with the claims examiner, client, injured worker, attorney, and supervisor
• 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's 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 an accredited college or university or equivalent work experience preferred
• Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion
• Ability to handle work-related stress
• Ability to handle multiple priorities simultaneously
• Ability to meet deadlines
• Computer keyboarding skills

Nice to have:

• Certification in case management, rehabilitation nursing or a related specialty

About the Company

Sedgwick has 33,000 colleagues who assist people around the world facing the unexpected. Newsweek recognizes Sedgwick as one of America’s Greatest Workplaces, and the company is certified as a Great Place to Work and listed among Fortune's Best Workplaces in Financial Services & Insurance.