Telephonic Case Manager

Sedgwick

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

Posted 11/2/2026full-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 CertificationClinical Assessment SkillsMedical Treatment PlanningKnowledge of Regulatory Standards

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentsTreatment PlanningMedical Recovery CoordinationDisability Duration GuidelinesCost Containment Strategies

Soft Skills

AdvocacyCommunicationRelationship BuildingProblem Solving

Certifications & Qualifications

Case Management CertificationRehabilitation Nursing Certification

Industry Keywords

Injury ManagementClient PrivacyEthical StandardsAccreditation 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
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
Ability to use medical and disability duration guidelines
Knowledge of ethical, legal, accreditation, and regulatory standards
Ability to maintain client 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
Diverse and comprehensive benefits
Medical, dental, and vision coverage
401(k) and matching
Paid time off (PTO)
Disability and life insurance
Employee assistance program
Flexible spending account or health savings account
Other additional voluntary benefits