Telephonic Case Manager

Sedgwick

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

Posted 9/29/2026full-timeRemote • United StatesMid-LevelSenior💰 $70,000 - $78,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management strategies, clinical assessments, and the coordination of medical services to facilitate recovery and return to work. Proficient in managing complex medical conditions while adhering to ethical, legal, and regulatory standards.

Highest-signal resume keywords

Current RN LicenseCase Management CertificationMedical KnowledgeTreatment PlanningCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentMedical Recovery CoordinationDisability Duration GuidelinesTreatment NegotiationProblem-Solving

Soft Skills

AdvocacyRelationship BuildingCreative Thinking

Certifications & Qualifications

Case Management CertificationRehabilitation Nursing Certification

Industry Keywords

Injury ManagementClient PrivacyEthical StandardsRegulatory ComplianceAccreditation 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
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 issues related to delayed recovery or return to work
Problem-solve using a creative-thinking approach
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, promote client safety and advocacy, and follow 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 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 manage complex medical conditions, treatment planning, and recovery from illness or injury
Ability to work with injured workers, employers, medical providers, claims examiners, clients, attorneys, and supervisors
Knowledge of medical and disability duration guidelines
Ability to adhere to ethical, legal, accreditation, and regulatory standards
Ability to maintain privacy and confidentiality

Benefits

Comp & perks

Remote work environment
Flexibility and autonomy in daily work, location, and career path
Professional development opportunities
Continuing education credits
Team building initiatives
Medical, dental, and vision benefits
401(k) and matching
Paid time off (PTO)
Disability and life insurance
Employee assistance program
Flexible spending account or health savings account
Additional voluntary benefits