Telephonic Nurse Case Manager - Registered Nurse

 

JOIN OUR TEAM!

 

ADDING TO STAFF - DUE TO CONTINUED GROWTH

 

RN CASE MANAGEMENT PROFESSIONALS

 

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

 

 

Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities.  We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment.

 

Due to our continued growth, we are adding Telephonic Nurse Case Management Professionals to our Team in the  Long Beach, CA office. At this time, we are also interviewing Nurse Case Management Professionals who are interested in working either 20 hours or 17.5 hours per week.

 

We are proud to have been recently voted the Best TPA in America and the first and only Third Party Administrator to receive the coveted Employer of Choice? designation.  Come be a part of our team and "Claim Your Future."


PRIMARY PURPOSE: To perform initial evaluation assessments and evaluate need for alternative treatment; to negotiate claims with providers and employers; and to provide case direction and supervision to field case specialists when on-site intervention is required ensuring quality and appropriate service delivery.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:Performs initial evaluation assessment via telephone calls to client, employer, and physician. Evaluates need for alternative treatment. Negotiates level of care, intensity and disability duration with providers Negotiates and coordinates a prompt return to work with employer Maintains accurate record of management including costs, savings and demographic data Adheres to quality assurance standards Provides case direction and supervision to field case specialists when on-site intervention is required; ensures quality and appropriate service delivery Communicates effectively with handling claims examiner, client, claimant, and supervisor Supports the Total Performance Management initiative

Education & Licensing: Baccalaureate degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred Active RN license required Certification in rehabilitation nursing or a related specialty is highly preferred Valid driver's license required

 

Experience: Two (2) years of clinical experience required

 

Skills & Knowledge:Knowledge of workers compensation laws and regulations Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Effective analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Persuasive negotiation skills Ability to work in a team environment Ability to meet or exceed Performance Competencies