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Sedgwick Claims Management Services

Claims management and risk solutions provider

Field Case Manager

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeNew Jersey, USA$85k - $88k

About the Job

Requirements

  • Hold a current unrestricted registered nurse license in a state or territory of the United States.
  • A Bachelor of Science in Nursing from an accredited college or university or equivalent work experience is preferred.
  • Certification in case management, rehabilitation nursing, or a related specialty is highly preferred.
  • Apply medical, clinical, or rehabilitation knowledge and experience to complex medical conditions, treatment planning, and recovery from illness or injury.
  • Maintain client privacy and confidentiality, promote client safety and advocacy, and adhere to ethical, legal, accreditation, and regulatory standards.
  • Demonstrate clear and conceptual thinking, judgment, troubleshooting, problem-solving, analysis, and discretion.
  • Handle work-related stress, multiple priorities, and deadlines.
  • Perform computer keyboarding and meet hearing, vision, and speaking requirements.

Responsibilities

  • Create a case management strategy with the injured worker, employer, and medical providers to facilitate medical recovery and a successful return to work through advocacy, communication, and coordination of medical services.
  • Perform initial and ongoing clinical assessments via telephone to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications, and support systems.
  • Communicate and build relationships with the claims examiner, client, injured worker, attorney, and supervisor.
  • Identify issues related to delayed recovery or return to work and resolve them using a creative problem-solving approach.
  • Negotiate treatment and disability duration with providers using medical and disability-duration guidelines while adhering to quality standards.
  • Identify opportunities to expedite care for cost containment and timely medical recovery.
  • Recommend alternate clinical resources to support claim resolution.

Desired Qualifications

  • Certification in case management, rehabilitation nursing, or a related specialty is highly preferred.
  • A Bachelor of Science in Nursing from an accredited college or university is preferred, or equivalent work experience.

About the Company

Sedgwick Claims Management Services

Claims management and risk solutions provider

Sedgwick manages claims and risk for insurers, corporations, and public entities. Its services cover the full claims lifecycle, including clinical case management, networks, and cost-containment programs, plus specialized work like home inspections and property appraisals. The company operates by charging fees for these managed services that coordinate medical care, assess losses, and support timely resolution. Sedgwick differentiates itself through its integrated, end-to-end approach to claims management and its strong emphasis on caring for people, DEI, and client outcomes. Its goal is to help clients resolve claims efficiently, restore property and brands, and reduce costs through targeted resources deployed at the right time to improve outcomes.

Company size
10,001+
Company stage
Growth Equity (Non-Venture Capital)
Total funding
$1.5B
Headquarters
Memphis, TN
Founded
1969

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