About this opportunity
Sedgwick lists this Utilization Review RN opportunity in st paul, Minnesota. Review the employer’s description below for duties, qualifications and application requirements.
Job description
US Telecommuter
nFull time
nR78360
nBy 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.
nNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
nCertified as a Great Place to Work®
nFortune Best Workplaces in Financial Services & Insurance
nUtilization Review RN
nAs a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting.
nnnApply your RN clinical knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.
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nnWork in the best of both worlds - a rewarding career making an impact on the health and well-being of others in a remote work environment.
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nnEnjoy flexibility and autonomy in your daily work and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.
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nnEnable our Caring Counts® mission of supporting injured employees from some of the world's best brands and organizations.
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nnBe a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
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nnCelebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.
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nnAccess diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
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n nPRIMARY PURPOSE : To provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes.
nARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
nESSENTIAL RESPONSIBLITIES MAY INCLUDE:
nnnPerforms clinical assessments via information in medical files; assesses injured employee's situation which may include psychosocial needs.
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nnEvaluates patient condition including treatment utilization and compliance. Evaluates need for and recommends alternative treatment.
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nnCollaborate effectively with physicians, claims examiners, clients, vendors, supervisors and other parties as needed.
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nnNegotiates appropriate level and intensity of care through use of medical and disability guidelines, adhering to quality assurance standards.
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nnActs as a resource in consulting with the client, nursing staff and claims examiners regarding treatment issues.
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nnPerforms treatment utilization management reviews.
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nnMaintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
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n nEDUCATION AND LICENSING:
nnActive unrestricted RN license in a state or territory of the United States required. Compact licensure preferred. Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred. Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred. Two (2) years of direct clinical experience as an RN is required..
n nTAKING CARE OF YOU :
nnnSeeks innovative customer solutions.
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nnCraves cutting edge opportunities.
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nnWants dynamic company culture.
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nnPassion about creativity.
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nnSeeks ongoing learning as a person and professional.
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nnThrives when solving challenging problems.
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nnWants achievements to be celebrated.
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nnWe offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.
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n nNEXT STEPS
nIf your application is selected to advance to the next round, a recruiter will be in touch.
n#nurse
nWork environment requirements may include -
nPhysical: Computer keyboarding
nAuditory/visual: Hearing, vision and talking
nMental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines
nAs 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 $63,000-$65,000/year. 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.
nThe 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.
nSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
nIf 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.
nSedgwick 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
Worksite address
st paul, MN, 55130, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.