Telephonic Nurse Case Manager-Location - Pasadena, CA

CAREER OPPORTUNITIES

FOR

RN CASE MANAGEMENT PROFESSIONALS



CLAIM YOUR FUTURE AS A GREAT PERFORMER!







JOIN OUR TEAM!


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?



Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claim Management Services the place where great people can do great things for clients while maximizing their career possibilities. We provide professional claims and productivity management services to major clients coast to coast. 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 now seeking Telephonic Nurse Case Management Professionals for job openings in our Pasadena, CA office.



We are proud to be the first and only Third Party Administrator to receive the coveted Employer of Choice® designation. We provide a workplace that has been recognized nationally for its progressive, colleague-oriented employment practices. 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 REQUIREMENTS
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 Two (2) years or more years workers compensation medical case management preferredSkills & 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