RN, Telephonic Case Manager

Sedgwick

. Partner with injured workers, employers, and medical providers to create case management strategies .

Posted 9/30/2026full-timeRemote • United StatesJunior💰 $78,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management strategies, clinical assessments, and rehabilitation knowledge to facilitate medical recovery and return-to-work processes. Strong ability to communicate effectively with various stakeholders while adhering to ethical and regulatory standards.

Highest-signal resume keywords

Current Unrestricted RN LicenseWorkers Compensation ExperienceClinical Assessment via TelephoneCertification in Case ManagementKnowledge of Medical and Disability Duration Guidelines

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case Management StrategiesClinical AssessmentsTreatment PlanningMedical Recovery FacilitationNegotiation SkillsCost Containment StrategiesCultural Implications EvaluationPsychosocial Needs AssessmentAdvocacy SkillsEthical and Regulatory Compliance

Soft Skills

Communication SkillsRelationship BuildingProblem-SolvingAbility to Handle Multiple PrioritiesClient Advocacy

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

RN LicenseCompact LicenseCertification in Rehabilitation Nursing

Industry Keywords

Workers CompensationMedical Services CoordinationReturn-to-Work IssuesClient Privacy and ConfidentialityAccreditation Standards

About the role

Key responsibilities & impact

Partner with injured workers, employers, and medical providers to create case management strategies
Facilitate medical recovery and successful return to work through advocacy, communication, and coordination of medical services
Apply medical/clinical or rehabilitation knowledge to manage complex medical conditions, treatment planning, and recovery
Perform initial and ongoing clinical assessments by telephone
Evaluate injuries, medical treatment, psychosocial needs, cultural implications, and support systems
Communicate and build relationships with claims examiners, clients, injured workers, attorneys, and supervisors
Identify delayed recovery and return-to-work issues and problem-solve creatively
Negotiate treatment and disability duration with providers using medical and disability duration guidelines
Identify opportunities to expedite care for cost containment and timely recovery
Recommend 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

What you’ll need

Must reside in the United States
Current unrestricted RN license(s) in a state or territory of the United States required
Must have a compact license
1.5 years of prior workers compensation experience required
Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred
Certification in case management, rehabilitation nursing, or a related specialty highly preferred
Medical/clinical or rehabilitation knowledge and experience
Ability to perform clinical assessments via telephone
Ability to communicate and build relationships with claims examiners, clients, injured workers, attorneys, and supervisors
Knowledge of medical and disability duration guidelines
Ability to handle multiple priorities and meet deadlines
Computer keyboarding ability
Hearing, vision, and talking abilities

Benefits

Comp & perks

Work-life balance
Remote work environment
Flexibility and autonomy in daily work, location, and career path
Professional development opportunities
Continuing education credits
Team building initiatives
Three medical plans
Two dental and vision plans
Tuition reimbursement
401K plan matching 50% of contributions up to the first 6% saved
4 weeks PTO in the first full year
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Additional voluntary benefits