Offres telephonic nurse case manager à Atlanta, GeorgiaCréer des alertes d'emploi

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager PRIMARY PURPOSE OF THE ROLE: While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. * Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. * Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. * Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. * Enable our Caring counts mission supporting injured employees from some of the world's best brands and organizations. * Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. * Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. * Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ESSENTIAL RESPONSIBLITIES MAY INCLUDE * Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems. * Effectively communicates and builds relationships with the claims' examiner, client, injured worker, attorney and supervisor. * Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach * Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality. * Identifies opportunities to expedite care for cost containment and timely medical recovery. * Provides recommendations for alternate clinical resources to support claim resolution. * Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. EDUCATION AND LICENSING Current unrestricted RN license(s) in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is highly preferred. ? TAKING CARE OF YOU BY * Offering a blended work environment. * Supporting meaningful work that promotes critical thinking and problem solving. * Providing on-going learning and professional growth opportunities. * Promoting a strong team environment and a culture of support. * Recognizing your successes and celebrating your achievements. * Thrives when everyone is working towards the same vision/goals. * We offer a diverse and comprehensive benefits package including: * Three Medical, and two dental plans to choose from. * Tuition reimbursement eligible. * 401K plan that matches 50% on every $ you put in up to the first 6% you save. * 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #telephoniccasemanager As required by law, Sedgwick 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 specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $73,000 - $75,000. 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. "Always accepting applications." Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps 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. For more, see sedgwick.com

Job Description Nurse Case Managers EagleOne is a family owned Nurse Case Management company that has been in business for 33 years and counting. Our expertise and commitment to excellence allows us to cater to the unique needs of our clients. From national telephonic and field case management to catastrophic and specialized consultation services, our solutions are designed to optimize outcomes for patients injured on the job. At EagleOne, treating everyone with respect is not just a guiding principle but a fundamental value we uphold. Collaboration is ingrained in the very essence of EagleOne, driving our operations and serving as a guiding principle for our organization. Our collaborative training and mentoring program will ensure you feel confident as a nurse case manager. Our steadfast commitment to excellence drives our actions and decision-making processes. We uphold ethical standards, prioritize integrity, and make decisions that align with the best interests of our clients, partners, employees We are looking for Nurse Case Managers to join our team. We provide a competitive salary, great benefits and work life balance. As well as a great training program for learning or expanding your knowledge of workers compensation case management. This is a full time remote position, Monday – Friday (no holidays or weekends) Nurses are asked to attend field visits within a 1.5 hour range of their location As a Case Manager you will: Manage 22-25 active field case management files, 45-55 telephonic case management files, or 35-45 mixed files (depending on complexity) · Follow and apply Eagle OneTM case management protocols · Provide expert consultation on medical information's impact on the case · Update employers on disability/medical status within 24 hours of appointments · Adhere to jurisdictional rules and regulations for each case · Attend field visits as needed Skills and Competencies desired: · Active RN licensure in state of employment · Bachelor’s Degree preferred · Valid driver’s license · Proficient in Microsoft Windows/Office (Word, Excel, Outlook), internet research, computer navigation, and should type in the 45 WPM range · Strong organizational, communication, and customer service skills · Ability to work in a fast-paced environment · Bilingual abilities are a plus · Additional certifications (i.e., CCM, CDMS, CLNC) are a plus · Knowledge of workers’ compensation rules is a plus but not required Benefits: Paid Holidays, PTO, Medical, Dental, Vision, Employer sponsored 401K Company DescriptionContact Dawn Stark, HR Coordinator Great Benefits Paid Holidays, M-F, weekends OffContact Dawn Stark, HR Coordinator \r\\r\nGreat Benefits\r\nPaid Holidays, M-F, weekends Off

Job Description ABOUT US: Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. Our name reflects our mission - Forza means "strength," representing the power of our team, and Care reflects our compassion for those we serve. ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative and risk mitigation solutions. Together, we're expanding our reach and strengthening our ability to deliver exceptional service across the workers' compensation industry. Learn more about ForzaCare and Ethos partnership here. JOB SUMMARY: As a Telephonic Case Manager at ForzaCare, you'll play a vital role in coordinating care for injured workers, primarily through phone-based interactions. Their responsibilities encompass communication, documentation, collaboration, and support to facilitate recovery and a successful return to work. This role is ideal for a Registered Nurse with a national accreditation such as CCM, CDMS, COHN, CRRN. While prior experience in workers' compensation is strongly preferred, a minimum of 2 years of case managment experience is required. KEY RESPONSIBILITIES: • Coordinate care between medical providers, employers, attorneys, insurance carriers, and injured workers via phone to discuss treatment plans, progress, and return-to-work strategies., • Develop, document, and monitor individualized recovery goals and return-to-work plans., • Provide consistent communication and detailed progress reports to clients and stakeholders., • Ensure all case management work meets or exceeds customer and compliance requirements., • Build and maintain strong relationships with clients, providers, and internal team members. QUALIFICATIONS: Education & Licensure: • Active Registered Nurse (RN) or Certified Rehabilitation Counselor (CRC) license with an associated college degree is required., • Minimum of 2 years in medical/surgical nursing experience AND 2 years of case management experience in workers' compensation?, • Additional certifications such as CCM, CIRS, or other case management credentials are preferred., • Must comply with all state-specific licensure and certification requirements. Skills & Attributes: At ForzaCare, we look for professionals who embody our values and thrive in a collaborative, purpose-driven environment: • Motivated –You take pride in exceeding goals and continuously improving., • Organized – You can manage a fast-paced workload and multiple priorities with ease., • Collaborative – You communicate clearly and work well with diverse teams and stakeholders., • Committed – You uphold ForzaCare's mission to deliver high-quality, compassionate care and comply with all safety, ethical, and professional standards. ForzaCare is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic. Job Posted by ApplicantPro

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Join us as we put healthcare on a better path!! Job Description Helping patients feel supported, heard, and guided—right from your home. At Guidehealth, we’re transforming how patients experience healthcare by combining clinical expertise with compassionate, person-centered support. As a Remote RN Case Manager, you’ll build trusted relationships with patients by phone, helping them navigate complex health needs, understand their care plans, and improve their overall well-being. If you’re a nurse who loves making a direct impact—without the physical demands of bedside care—this role offers the meaningful patient connection you’re looking for. This is a primarily remote role with 10–15% local travel to clinical sites in your hiring area. What you'll be doing: • Conducting in-depth telephonic assessments to understand each patient’s medical, psychosocial, and social needs., • Reviewing and updating medical histories—including medications, chronic conditions, and preventive care., • Developing individualized care plans and guiding patients through their treatment goals and care options., • Providing empathetic, evidence-based education on chronic disease management and preventive health., • Monitoring progress by phone, adjusting care plans, and ensuring patients stay connected to their providers., • Completing Medicare Annual Wellness Visits (AWVs) via telehealth under physician supervision., • Partnering with Healthguides who support non-clinical needs like scheduling, transportation, food assistance, and SDOH resources., • Performing proactive outreach and timely follow-ups to maintain continuity of care and patient engagement., • Advocating for patients, helping them access the right resources at the right time., • Documenting clearly and accurately in the EHR and care-management systems during and after calls., • Supporting quality outcomes (HEDIS, NCQA) by coordinating preventive services and managing chronic conditions., • Participating in virtual meetings, ongoing education, and clinical training to stay current with care standards., • Using multiple communication methods (phone, text, patient portals, email, AI-supported tools) to reach high-risk patients., • Collaborating in AI-driven outreach programs that help connect with vulnerable populations., • Protecting patient privacy in a secure, private home workspace., • Performing additional responsibilities as needed to support patients and the care team.Qualifications What you'll need for success: • Active Compact Registered Nurse license in good standing is required., • 3+ years of RN Case Management experience, preferably in outpatient or ambulatory care., • Strong critical-thinking and problem-solving skills to anticipate barriers and drive care forward., • Ability to work independently, manage multiple priorities, and make sound clinical decisions remotely., • Outstanding communication—warm, clear, confident, and patient-focused., • Excellent telephonic interviewing skills and the ability to document accurately in real time., • High comfort level with technology: EMRs, care-management systems, multi-screen workflow, Microsoft Office, and telecommunication tools., • Understanding of accreditation and quality standards (NCQA, HEDIS)., • A quiet, private home office suitable for patient calls and handling PHI., • BSN and Case Management certification preferred. Additional Information The salary range for this role is $80,000-83,000 ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.

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Functions in a developing leadership role, including Charge Nurse responsibilities when assigned.