Medical Case Manager EI (Remote) 2026-1476

About the role

Are you looking to make a difference by providing high-quality care with a personal touch that impacts the lives of workers? Would you like to be part of a team focused on empowering and sustaining health by supporting the occupationally injured? We believe in helping those with work-sustained illnesses and injuries to live their best life by providing care, health management, and support through our highly skilled team of home-based Medical Case Managers (MCM).

As a Medical Case Manager, you will work independently in your home office setting while still being part of a supportive nationwide team. Through the application of a unique mix of experience and certification, you will support federal workers with diagnoses in the fields of occupational-related injuries and illness, emphasize timely facilitation and coordination of diagnosis, and be involved in the acute and chronic phases of treatment and support.

Responsibilities

• Develop a case management plan for each injured worker throughout the various stages of recovery while tracking patient improvement goals in a database.
• Implement integrated medical disability case management services to prevent, minimize, or overcome a disability.
• Provide medical expertise and serve as the critical communication link between the parties involved in any medical disability case.
• Ensure timely follow-up, including 24-hour follow-up on communications and effective coordination among all parties involved in the case.

Requirements

• High School Diploma or equivalent (GED) required; Bachelor of Science in Nursing (BSN) or related field preferred.
• Current, active, unrestricted resident RN license within the United States required; Compact License preferred.
• 3+ years related clinical experience with at least 1 year in workers' compensation, utilization review, disability case management, occupational health, and/or comparable field.
• National certification in case management or a related field preferred.
• Reliable high-speed cable or fiber optic internet service and an established home office environment.
• Strong attention to detail with excellent organizational and time management skills.
• Proficiency with Microsoft Office applications, including Word, Excel, and Outlook.
• Experience using case management systems, electronic medical records (EMR), or other electronic platforms.
• Ability to utilize telehealth technologies, including video and chat platforms, when appropriate.
• Ability to work independently while collaborating effectively within a team environment.
• Excellent communication and documentation skills.
• Must successfully pass a preliminary credit and background check prior to hire.
• Upon hire, a federal security clearance will be required.

Benefits

• Medical, dental, and vision coverage.
• 401k with matching.
• Paid time off (PTO).
• Disability and life insurance.
• Employee assistance program.
• Flexible spending or health savings account.
• Additional voluntary benefits.

Pay

For the jurisdiction noted in this job posting, the range of starting pay for this role is $78,000–$82,000 yearly.

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.