Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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Field Case Manager

This Field Case Manager will cover our Grands Rapids, Lansing, and Kalamazoo, MI region and must live in this area to be considered.

PRIMARY PURPOSE : To facilitate progressive medical treatment/rehabilitation and/or timely return to work of injured worker; and to act as liaison for involved parties.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Assesses and analyzes injured worker's medical and vocational status.

• Develops progressive plan of care to facilitate medical recovery and progressive return to work.

• Manages one-time task assignment or full field case management referral to meet with attending physician, injured worker and/or employer to clarify medical and/or vocational claim related information which could not be obtained through correspondence or telephonic attempts by claims team.

• Collaborates with members of the health care team to provide ongoing case management services.

• Acts as liaison for involved parties in the worker's compensation injury by communicating in person and telephonically with the patient/caregiver, attorneys, employer, claims examiners, telephonic nurse case manager, return to work specialists, vocational rehabilitation supervisor, provider(s), ancillary provider(s) and health care team.

• Monitors injured employee's progress towards appropriately established outcomes through continued assessment and evaluation.

• Coordinates necessary referrals, consultations, and therapeutic services for the injured employee.

• Completes the interview process with the patient/caregiver in the home, worksite, ancillary location or physician's office for current and ongoing assessments and evaluations.

• Assists in the development of continued care plans as necessary to include patient education and prevention programs.

• Testifies as needed to substantiate relevant case work or reports.

• Confers with medical treating providers concerning the course of care and treatment per clinical guidelines.

• Educates medical providers on appropriate disability and treatment guidelines as necessary.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

• Supports the organization's quality program(s).

• Travels as required.

QUALIFICATION

Education & Licensing

Current state RN licensure preferred. Bachelor's degree in a health or human services field from an accredited college or university preferred. Certified Case Manager (CCM), Certified Disability Manager Specialist (CDMS), or Certified Rehabilitation Counselor (CRC) certification required. Valid driver’s license required.

Experience

Six (6) years of related work experience or equivalent combination of education and experience required to include three (3) years case management experience.

Skills & Knowledge

• Knowledge of laws and regulations pertaining to rehabilitation and HIPPA

• Knowledge of workers' compensation and/or disability

• Excellent oral and written communication skills

• PC literate, including Microsoft Office products

• Strong problem-solving skills

• Ability to work independently

• Excellent interpersonal and negotiation skills

• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)