Managed Care Advisors
Medical Case Manager EI 2026-1463 (Remote)
Company Description
Taking care of government agencies and employees is at the heart of everything we do. Sedgwick Government Solutions helps people, restores property, and empowers performance through claims and productivity management solutions tailored to the needs of federal employees and government agencies. The company believes in a people first, tech forward, data driven approach, bringing together empathy, innovation and expertise to deliver results. We have decades of experience working with federal, state and local governments bolstered by the acquisition of award-winning federal government contracting firm Managed Care Advisors (MCA).
Job Description
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 MCA as a leading case management company? Do you have experience with workers' compensation? 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 Medical Case Managers (MCM).
Requirements
Unrestricted State Registered Nursing License 3+ years related clinical experience with at least 1 year in workers' compensation, utilization review, disability case management, occupational health, and/or comparable field Preference is given to Nurses with National Certification in case management or related fields. Attention to detail, timetables, and commitment to completing tasks Computer literacy, including MS Word, Excel, and Outlook Experience with Microsoft Windows and computer savvy Must be well organized, efficient, and able to work independently and within a team Responsible for having reliable High-Speed Cable or Fiber Optic Internet service and an Internet Router in an established home office Must have Excellent Communication Skills via Phone, email, Text, Verbal, and Documentation Skills, and provide 24-hour follow-up to all communication U.S. Citizenship Before hiring and training able to pass a preliminary credit and background check Upon hire, a federal security clearance will be required
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Responsibilities
As a Medical Case Manager, you will work independently in your home office setting while still being part of a supportive nationwide team. 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 and chronic 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 patient improvement goals. 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.
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