Job Description

Position Title: Telephonic Triage Nurse Case Manager (Remote) 2025-1436


Location: Tampa, FL, USA


Job Category: Medical Case Management


Job Type: Full Time


Description:

Overview

Telephonic Triage Nurse Case Manager Remote (New York/Florida)

Are you looking to make a difference by providing high-quality care with a personal touch that impacts the lives of workers? Would you like to be part of a team focused on empowering and sustaining health by supporting the occupationally injured? Do you have the professional nursing, case management experience, and licenses necessary to help further establish Sedgwick Government Solutions as a leading case management company?

We believe in helping those with work-sustained illnesses and injuries to live their best life by providing care, health management, and support through our highly skilled team of home-based Telephonic Triage Nurse Case Managers .

As a Telephonic Triage Nurse Case Manager with an active RN license from Puerto Rico residing in the continental US, you will work independently in your home office setting while still being part of a supportive team nationwide. Through the application of a unique mix of experience and certification, you will support federal workers with diagnoses in the fields of occupational-related injuries and illness, emphasize timely facilitation and coordination of diagnosis, and be involved in the acute phases of treatment and support. Your broad responsibilities will include developing a case management plan for each injured worker throughout the various stages of recovery while tracking in a database the patient's improvement goal. You will implement integrated medical disability case management services to prevent, minimize, or overcome a disability, as well as provide medical expertise and serve as the critical communication link between the parties involved in any medical disability case.

Responsibilities

• Accepts assignments based on referrals from DOL with service period limitations
• Responsible for coordinating timely contact and information sharing with the injured worker, treating provider, and the Agency.
• Accurate, timely documentation of contact attempts and communications in assigned case management systems, as identified by SGS, as well as DOL
• Conduct and document an assessment of each injured worker/employee, including (as appropriate) regarding clinical and non-medical obstacles. psychosocial status, consumer knowledge, education needs to health status and treatment plan, past relevant history, and possible non-medical impediments to successful resolution
• Collaborate and communicate with the injured worker/employee, providers, employer, or the employer's representative in the execution of a plan for return to work or other productive activity.
• Identify and obtain any required or outstanding medical documentation in support of the individual's plan for a return to work or other productive activity.
• Understand and implement criteria for the discharge of injured workers from TN services
• Identify cases that would benefit from additional case management services, such as assignment of a DOL Field Nurse
• Promote goodwill by assisting all parties involved with issues related to the injured worker/employee, provider relations, and OWCP coordination, as applicable.
• Understand the organization's quality management program and the case manager's role within that program
• Is an effective team member; supports the team by pitching in at any level and effectively working across the organization to meet the needs of the business
• Take ownership of personal actions and outcomes.
• Embrace change; maintain an open mind, and be flexible and adaptable in the face of ambiguity and change
• Ability to work independently, multitask, and adjust priorities
• Proactively seek opportunities to increase knowledge, skills, and abilities
• May perform other duties, as needed, to meet the needs of the business
• Ability to utilize a case management system, Electronic Medical Record, or other electronic platform
• Ability to utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services.
• Demonstrated ability to use Microsoft applications and demonstrate basic electronic technology understanding
• Computer literacy, including MS Word, Excel, and Outlook

Qualifications

• Bachelor of Science in Nursing
• Must have an active RN License from Puerto Rico, and reside in the continental US
• Compact License Required
• National certification in case management or a related field is preferred in one of the following areas: Occupational Health (COHN); Case Management (CCM), Insurance Rehabilitation (CIRS/CRRN), Disability Management (CDMS), and/or Nurse Case Manager Board Certified (ANCC/ANA). National certification in a related field or obtained within 12 months of the date of hire.
• 5 years of related clinical experience, including:
• Minimum of 2 years in adult medical/surgical nursing
• Minimum of 2 years in case management within the workers compensation arena
• Minimum of 1 year in adult medical/surgical nursing
• Minimum of 3 years in case management within the workers compensation arena
• Experience with the Federal Employee Compensation Act (FECA) and FECA-related issues preferred.
• Demonstrated ability to work independently and with others
• Attention to detail, timetables, and commitment to completing tasks
• Experience with Microsoft Windows and computer savvy
• Must be well organized, efficient, and able to prioritize competing priorities and make sound judgments
• Ability to define and resolve problems and challenges in a workplace setting
• Responsible for having reliable High-Speed Cable or Fiber Optic Internet service
• Ability to utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services
• Must have Excellent People Skills and Communication Skills via Phone, email, Text, written, and Verbal formats, and provide 24-hour follow-up to all communication
• Before hiring and training, you must be able to pass a preliminary credit and background check

For a career path that is both challenging and rewarding, join Sedgwick Government Solutions talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assetstheir employees and their customers. At Sedgwick Government Solutions, caring counts. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.

Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors, including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($75,000 - $80,000). A comprehensive benefits package is offered, including, but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

To be considered for this position, please submit a resume and complete the application.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions, and no fee will be paid if the person is hired by Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need disability-related accommodation to complete the application process, please contact Government Solutions regarding accommodations.

Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the persons relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a) . This regulation prohibits discrimination against qualified individuals based on disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a) . This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. Privacy | Sedgwick Terms and Conditions | Sedgwick

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Managed Care Advisors

Job Tags

Remote job, Full time, For contractors, For subcontractor, Local area, Work from home, Home office, Flexible hours,

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