Job description
Sedgwick is currently seeking Triage Nurses to join our Crisis Care team. This is a remote PRN position offering up to 20 hours per week. The team operates 24/7, with the greatest staffing needs during afternoon, evening hours, overnight and weekends.
Current shift needs (CST) are:
3:00 PM to 9:00 PM
9:00 PM to 6:00 AM,
24 hour weekend shifts - 6:00 AM Saturday - 6:00 AM Sunday or 6:00 AM Sunday to 6:00 AM Monday
PRIMARY PURPOSE: Triages incoming catastrophic injury referral calls from clients; gathers vital case details, obtains and provides medical status updates to the customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that client service guidelines are followed and communicated to the appropriate parties and promotes quality cost-effective outcomes through communication and available resources.
ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
Responsibilities
- Provides professional and timely responses to incoming catastrophic referral calls from clients, applying all phases of the nursing process, i.e. assessment, planning, implementation, and evaluation when triaging calls.
Triages the catastrophic referral utilizing critical reasoning, the department triage log, and associated workflow; utilizes customer specific guidelines to obtain pertinent data.
Identifies life-threatening emergencies and recommends appropriate interventions.
Assigns appropriate Field Case Manager assignment and facilitates initial onsite hospital visit for the claim.
Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status and FCM estimated time of arrival.
Communicates phone advice in a calm manner, ensuring it is properly received and understood.
Ensures triage benchmarks are met, activity is professionally documented and enters incident data into computer system.
Educates the assigned FCM on Sedgwick benchmarks and customer specific guidelines.
Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite.
Adheres to quality assurance standards.
DDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Requirements
- Education & Licensing: Bachelor's degree in nursing (BSN) from an accredited college or university preferred. Licenses as required. Active unrestricted RN license issued in a state or territory of the United States required.
Experience: Six (6) years of related experience or equivalent combination of education and experience required to include three (3) years of recent clinical practice or Telephonic/ Field Case Management experience in Worker’s Compensation.
Skills & Knowledge: Strong knowledge of nursing practice and theory
Demonstrate a high level of clinical skills and triage ability
Ability to apply critical thinking under pressure
Knowledge of the insurance industry and claims processing
Knowledge of field case management
Excellent oral and written communication skills, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiating skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT: When applicable and appropriate, consideration will be given to reasonable accommodations.
About Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
