RN Field Case Manager

Sedgwick•Pittsburgh, PA

1d•Hybrid

About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance. This Field Case Manager will cover West Pittsburg, PA region (including some of Ohio) and must live in this area in order to be considered. Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. Sedgwick is looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. The role involves applying medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. It offers a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. The position provides flexibility and autonomy in daily work, location, and career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

Requirements

Must live in the West Pittsburg, PA region (including some of Ohio) in order to be considered.
Must apply for and or hold an Ohio RN license.
Must have at least 1.5 years of prior Field Case Manager workers compensation experience.
RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC.
Valid driver’s license required.
High speed internet required.
Frequent travel is required.

Responsibilities

Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process.
Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation.
Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source