RN Clinical Consultation

The ''Apply with SEEK'' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the ''Apply'' option.Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. Its an opportunity to do something meaningful, each and every day. Its having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if youre someone who cares, theres a place for you here. Join us and contribute to Sedgwick being a great place to work.Great Place to WorkMost Loved WorkplaceForbes Best-in-State EmployerRN Clinical Consultation** WE ARE HIRING 6 PEOPLE---3 FOR THE 3:30PM - 2:00AM CST SHIFT AND 3 FOR 12:00PM - 10:30PM CST SHIFT. **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 RESPONSIBILITIESApplies 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 teracts and coordinates work of Physician Advisors as necessary.Serves as resource to triage team members.ADDITIONAL FUNCTIONS and RESPONSIBILITIESPerforms other duties as assigned.Supports the organization''s quality program(s).QUALIFICATIONSEducation & LicensingBachelor''s degree in nursing (BSN) preferred. Active unrestricted RN license issued in a state or territory of the United States required.ExperienceFive (5) years of related experience or equivalent combination of education and experience required to include three (3) years of recent clinical practice experience.Skills & KnowledgeStrong knowledge of nursing practice and theoryKnowledge of the insurance industry and claims processingKnowledge of current alternative resources and treatments in out-patient and alternative care settingsExcellent oral and written communication, including presentation skillsPC literate, including Microsoft Office productsAnalytical and interpretive skillsStrong organizational skillsExcellent interpersonal skillsExcellent negotiation skillsAbility to work in a team environmentAbility to meet or exceed Performance CompetenciesWORK ENVIRONMENTWhen 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 deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talkingNOTE : Credit security clearance, confirmed via a background credit check, is required for this position.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 and a Drug-Free Workplace.If 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.

Created: 2025-10-04