Rn Telephonic Case Manager I (california)
Sedgwick CMS (Oakland/East Bay, California)

This job posting has expired.

You may wish to try a search for RN Telephonic Case Manager I (California)

Or visit the FlipDog home page
 

 RN CASE MANAGEMENT PROFESSIONALS CLAIM YOUR FUTURE AS A GREAT PERFORMER! What drives you in your search for a rewarding career?  Are you looking for an opportunity with an industry leader that offers individualized development for talented novices and advanced placements for knowledgeable veterans? If you are an experienced Registered Nurse looking for personal growth and the opportunity to be part of an innovative, customer service oriented disability management team, look, no further!  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. We are proud to have been voted the Best TPA in America for 2005 and 2006, 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

 

 

Sedgwick CMS is an Equal Opportunity Employer

and a

Drug-Free Workplace