Physician’s Nurse - Full time

Full time
Fortune Best Workplaces in Financial Services & Insurance
Utilization Review RN
As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting.
Apply your RN clinical 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 well-being of others in a remote work environment.
Enjoy 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.
Enable our Caring Counts® mission of 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.
To provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes.
Performs clinical assessments via information in medical files; Collaborate effectively with physicians, claims examiners, clients, vendors, supervisors and other parties as needed.
Negotiates appropriate level and intensity of care through use of medical and disability guidelines, adhering to quality assurance standards.
Acts as a resource in consulting with the client, nursing staff and claims examiners regarding treatment issues.
and adheres to ethical, legal, accreditation and regulatory standards.
Active unrestricted RN license in a state or territory of the United States required. 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..

TAKING CARE OF YOU :

Seeks innovative customer solutions. Craves cutting edge opportunities. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. If your application is selected to advance to the next round, a recruiter will be in touch. #nurse Computer keyboarding Auditory/visual: 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. 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. 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.