Receive alerts when this company posts new jobs.
RN Clinical Consultation
Regular - Full Time
RN Clinical Consultation
IF YOU CARE, THERE'S A PLACE FOR YOU HERE
For a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading 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. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.
For nearly 50 years, Sedgwick has been helping employers answer virtually every question there is about workers' compensation. We have experience in nearly every type of industry, in every region, providing the broadest range of programs and services.
PRIMARY PURPOSE: To triage calls from clients; to assess needs, giving appropriate care advice and disposition to appropriate level of care treatment facility; to promote quality cost-effective outcomes through communication and available resources; and to provide quality, cost effective alternatives to emergency or acute care.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Applies all phases of the nursing process; i.e. assessment, planning, implementation and evaluation when triaging calls.
Identifies the needs of caller by triaging, obtaining general health information and/or physician services referral.
Evaluates need for alternative treatment through telephonic contact and assessment with service provider.
Triages patient utilizing computerized protocols/algorithms; interviews patient to obtain pertinent data; and enters data into computer system.
Identifies life-threatening emergencies and recommends appropriate interventions.
Refers issues requiring physician interventions to physician in a timely manner; directs patients to appropriate level of care including but not limited to the nearest emergency room, urgent care facility, primary treating physician or home care.
Demonstrates effective verbal communications; communicates phone advice in a calm manner ensuring it is properly received and understood.
Adheres to quality assurance standards.
Interacts and coordinates work of Physician Advisors as necessary.
Serves as resource to triage team members.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
Education & Licensing
Bachelor's degree in nursing preferred. Active unrestricted RN license issued in United States required.
Five (5) years of related experience or equivalent combination of education and experience required to include three (3) years recent clinical practice experience.
Skills & Knowledge
Strong knowledge of nursing practice and theory
Knowledge of the insurance industry and claims processing
Knowledge of current alternative resources and treatments in out-patient and alternative care settings
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
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
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