RN, Telephonic Case Manager

Sedgwick

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

Posted 11/4/2026full-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 for injured workers, including clinical assessments, advocacy, and coordination of medical services. Proficient in negotiating treatment plans and ensuring compliance with ethical and regulatory standards.

Highest-signal resume keywords

Current RN LicenseWorkers Compensation Case Management ExperienceCertification in Case ManagementMedical/Clinical KnowledgeAbility to Handle Multiple Priorities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentsCase Management StrategiesNegotiation SkillsMedical Treatment EvaluationCost Containment Strategies

Soft Skills

Communication SkillsRelationship BuildingStress ManagementAdvocacy

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

Certification in Case ManagementCertification in Rehabilitation Nursing

Industry Keywords

Workers CompensationMedical RecoveryReturn to WorkEthical StandardsRegulatory Compliance

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
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 develop solutions
Negotiate treatment and disability duration with providers using medical and disability-duration guidelines
Identify opportunities to expedite care for cost containment and timely medical recovery
Recommend alternate clinical resources to support claim resolution
Maintain client privacy and confidentiality and promote client safety and advocacy
Adhere 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
Must have a compact license
1.5 years of prior workers compensation case management experience
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 handle work-related stress
Ability to handle multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding
Hearing, vision, and talking

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