Return-to-Work Specialist

PRIMARY PURPOSE

To negotiate, facilitate and monitor successful return to work of claimants within appropriate disability duration guidelines; to determine specific physical tolerances and vocational skills required for specific employment positions as requested by referral sources or employers; to assist case management staff with client competence decisions for individual positions; to contact employers to gather specific job site/employment information and prepare related reports documenting results; to assist with job site modification and/or obtaining adaptive equipment necessary; and to ensure medical, legal and accreditation standards are maintained.

RESPONSIBILITIES

• Determines objective, quantifiable, medically supported work restrictions for assigned claims.
• Facilitates return-to-work (RTW) efforts through negotiation with client, treatment provider and claimant; completes all vocational/RTW related jurisdictional or client directed documentation, notification or reporting; documents client contact in claim notes as per Sedgwick CMS standards; and assists case management staff in making decisions regarding client's competence for specific position.
• Adheres to medical and legal regulations and accreditation standards in written communication.
• Develops contacts with company managers to introduce program; represents client.
• Contacts employers to determine specific information regarding employment area (i. e., training/education needed, physical demands, wages and benefits, availability, etc.); ascertains the specific physical tolerances and vocational skills needed for specific employment positions as requested by referral sources or employers; assists in modifying job sites or obtaining necessary adaptive equipment as needed; and communicates with co‑workers regarding specific employment areas to apprise them of labor trends.
• Maintains regular contact with clients following placement, as per program guidelines; contacts involved individuals regarding progress on each case and makes suggestions as needed for changing rehabilitation plans.
• Works closely with team members to ensure smooth transition from medical case management into job placement.
• Prepares reports to document research results.
• Performs other tasks related to vocational evaluation and work adjustment training as needed.

QUALIFICATIONS

Education & Licensing

• Bachelor's degree from an accredited college or university preferred.
• Certified Rehabilitation Counselor (CRC) designation preferred.

Experience

• Four (4) years of related experience or equivalent combination of education and experience required, including one (1) year of return‑to‑work or job accommodation experience OR four (4) years of claims management experience.

BENEFITS

• Three medical and two dental plans to choose from.
• Tuition reimbursement eligible.
• 401(k) plan that matches 50% on every $ you put in up to the first 6% you save.
• 4 weeks PTO your first full year.
• Blended work environment that promotes critical thinking and problem solving.
• On‑going learning and professional growth opportunities.
• Strong team environment and culture of support.
• Recognition and celebration of achievements.

Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace.

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