Job Description:

Position Title: Medical Case Manager CARE (Remote -Strong Internal) 2024-1371

Location: Sioux Falls, SD, USA

Job Category: Medical Case Management

Job Type: Full Time

Description:

Medical Case Manager (Remote) - CARE Unit

Overview

Do you enjoy using your excellent writing skills as a Medical Case Manager to influence the actions of others? Does the thought of sharing your passion for finding answers within that large “pile” of documents intrigue you?

As a Medical Case Manager with Managed Care Advisors, working in your home office on Federal contracts, you will be responsible for a professional assessment of long-term cases. Using your clinical knowledge and nursing experience, you will provide detailed case review summaries while collaborating with a dedicated team. Ideal candidates will possess critical thinking skills with the ability to organize, and articulate in writing and verbally, and are motivated to work independently in a home office setting while still being part of a supportive t

Medical Case Manager Responsibilities

• Utilize strong reading and writing skills to conduct retrospective case reviews.
• Prepare professional reports, letters, and meeting notes.
• Through an application of a unique mix of knowledge and experience, support a large Federal Agency contract, including services within federal workers’ compensation, regulated by the Federal Employees Compensation Act (FECA).
• Using professional judgment, develop a case management plan for each case throughout the various stages of resolution.
• Provide medical expertise and serve as the critical communication link among the parties involved in the management of the case.
• Work independently in your home office setting while still being part of a supportive team.

Medical Case Manager Qualifications

• Unrestricted State Registered Nursing License
• Bachelor's or AA degree or diploma in nursing
• 3-5 years related clinical experience in medical case management, occupational health, and/or a comparable field.
• Demonstrated professional writing skills (Writing samples required)
• Strong verbal and interpersonal communication skills
• Results-driven with effective collaboration skills
• Attention to detail and timetables
• Commitment to completing tasks
• Conscientious with a commitment to quality
• Ability to work with a team
• Experience with Microsoft Windows
• Established Home office with internet router and Ethernet port in the office
• Cable or Fiber Optic Internet connection
• United States Citizenship
• Upon hire, federal security clearance will be required. Federal clearance coordinated by MCA
• Ability to pass a preliminary credit and background check
• Commitment to full-time employment

Our Case Management department is open Monday - Friday 8:30 am – 5:30 pm. So, there you have it, we are really excited about our opportunities so don't delay in applying to join our MCA family, so you can help us in delivering what we do best...simply doing the exceptional!

Managed Care Advisors (MCA), a rapidly expanding Consulting and Full-Service Medical Case Management Company servicing federal government and private industry customers nationwide and across all US Territories. We are looking for Full-Time Nurse Case Manager RNs with a desire to make a difference in someone's life and part of the Interdisciplinary Team responsible for providing telephonic case management to maximize the patient and family's quality of life.

To be considered for this position, please submit a cover letter and resume, and complete the application.

No phone calls, please!

For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.

Sedgwick Government Solutions 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 a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (range). 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.

To be considered for this position, please submit a resume, and complete the application.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations.

Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com Privacy | Sedgwick Terms and Conditions | Sedgwick

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