Rn Telephonic Case Manager I
Sedgwick CMS (Chicago, Illinois)

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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 recently the Best TPA in America, in 2005 and 2006 and we are a continuing Employer of Choice® award recipient, the first and only Third Party Administrator to receive this coveted 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 case management, rehabilitation nursing or a related specialty is highly preferred.  Valid driver's license required.

Experience:

At least one of the following is required:

A bachelors degree, or higher, in a health-related field and licensure as a health professional; orCertification as a case manager; orRN licensure and three (3) years clinical experience

 

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 CompetenciesSedgwick CMS is an Equal Opportunity Employerand a Drug-Free Workplace