RN Telephonic Case Manager

Sedgwick•Telecommuter TX, WA

5d•$78,000 - $85,000•Remote

About The Position

Sedgwick is seeking an RN Telephonic Case Manager to partner with injured workers, employers, and medical providers. The role develops case management strategies that support medical recovery and successful return to work through advocacy, communication, and coordination of medical services. The preferred candidate lives in Arizona, Washington, Texas, New Mexico, Colorado, Louisiana, or a New England compact state, though location preference is not a requirement. The position offers remote work and flexibility, while supporting injured employees through a collaborative, customer-focused approach. The case manager applies clinical or rehabilitation knowledge to help manage complex medical conditions, treatment planning, and recovery from illness or injury. Responsibilities include clinical assessments by telephone, collaboration with claims and care stakeholders, addressing barriers to recovery, negotiating treatment and disability duration with providers, and identifying ways to expedite appropriate care. The role also protects privacy and confidentiality and follows ethical, legal, accreditation, and regulatory standards. A current unrestricted RN license in a U.S. state or territory is required, along with a compact license and 1.5 years of prior workers’ compensation case management experience. A BSN or equivalent work experience is preferred, and case management, rehabilitation nursing, or related certification is highly preferred. Compensation for the jurisdiction specified in the posting is $78,000–$85,000. Sedgwick offers a blended work environment, professional growth opportunities, and a comprehensive benefits package.

Requirements

Current unrestricted RN license in a U.S. state or territory.
Compact nursing license.
At least 1.5 years of prior workers’ compensation case management experience.
Clear and conceptual thinking, sound judgment, troubleshooting, problem-solving, analysis, and discretion.
Ability to handle work-related stress, manage multiple priorities simultaneously, and meet deadlines.
Computer keyboarding ability; hearing, vision, and talking abilities.

Nice To Haves

Residence in Arizona, Washington, Texas, New Mexico, Colorado, Louisiana, or a New England compact state (preferred, not required).
Bachelor of Science in Nursing from an accredited college or university, or equivalent work experience.
Certification in case management, rehabilitation nursing, or a related specialty (highly preferred).

Responsibilities

Conduct initial and ongoing clinical assessments by telephone to evaluate the injured worker’s injury, medical treatment, psychosocial needs, cultural implications, and support systems.
Communicate effectively and build relationships with the claims examiner, client, injured worker, attorney, and supervisor.
Identify barriers to recovery or return to work and solve problems creatively.
Negotiate treatment and disability duration with providers using medical and disability duration guidelines while adhering to quality standards.
Identify opportunities to expedite care to support 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 adhere to ethical, legal, accreditation, and regulatory standards.