Telephonic Case Manager

Sedgwick

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

Posted 9/17/2026full-timeRemote • Ohio • United StatesMid-LevelSenior💰 $70,000 - $72,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management strategies, medical recovery advocacy, and coordination of medical services, while adhering to ethical and regulatory standards. Proficient in clinical assessments and treatment planning for complex medical conditions.

Highest-signal resume keywords

Current RN LicenseCase Management CertificationRehabilitation Nursing CertificationMedical/Clinical KnowledgeClinical Assessment Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case Management StrategiesTreatment PlanningClinical AssessmentsMedical Recovery CoordinationProblem SolvingAnalysisNegotiation SkillsCost Containment StrategiesCultural CompetenceEthical Standards Adherence

Soft Skills

Excellent JudgmentClear Thinking AbilityAbility to Handle Work-Related StressDiscretionCommunication Skills

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

RN LicenseCase Management CertificationRehabilitation Nursing Certification

Industry Keywords

Medical Services CoordinationClient AdvocacyRegulatory StandardsAccreditation StandardsDisability Duration Guidelines

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 issues related to delayed recovery or return to work 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 handle work-related stress and multiple priorities simultaneously
Ability to meet deadlines
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Computer keyboarding ability
Hearing, vision, and talking ability

Benefits

Comp & perks

Flexibility and autonomy
Professional development opportunities
Continuing education credits
Team building initiatives
Diverse and comprehensive benefits
Medical, dental, and vision insurance
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
Reasonable accommodations when applicable and appropriate