By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

PRIMARY PURPOSE OF THE ROLE: To utilize evidence-based tools to evaluate the prescribed medications to ensure patient safety and quality standards are in alignment with best practice standards.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment a are driven to deliver great work.

• Apply your RN clinical knowledge and experience to provide pharmacy utilization management services to ensure safety, enhance recovery and reduce time out of work.
• 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 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. 

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Performs clinical assessments via information in pharmacy reports and medical files; assesses patient situation which may include psychosocial needs.
• Evaluates patient drug usage to ensure alignment with evidence-based treatment guidelines.
• Collaborate effectively with physicians, claims examiners, clients, vendors, supervisors and other parties as needed.
• Acts as a resource in consulting with the client, nursing staff and claims examiners regarding pharmacy issues.
• Performs prospective and retrospective drug utilization management reviews.
• Maintains patient privacy and confidentiality, promotes safety and advocacy and adheres to ethical, legal, accreditation and regulatory standards.
• We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.

EDUCATION AND LICENSING

Active unrestricted RN license in a state or territory of the United States required. Compact licensure preferred. 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 BY

• Seeks innovative customer solutions
• Seeks ongoing learning as a professional and a person
• Thrives when solving challenging problems
• Seeks clear role expectations
• Metrics/policies/processes are helpful
• Seeks to contribute to a larger purpose
• Thrives when everyone is working towards same vision/goals
• Strong team and customer service orientation

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

As required by law, Sedgwick 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 specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $60,000 - $65,000.  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.

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.