Medical Case Manager EI 2026-1463

About the Team

Managed Care Advisors, a Sedgwick Government Services company, operates within the Healthcare & Medical Services department to support government and public sector clients. Our culture is built on teamwork, integrity, and service excellence, fostering a collaborative, multidisciplinary environment that values professional judgment, open communication, and shared problem-solving.

About the Role

The Medical Case Manager serves as a vital clinical partner for injured or ill individuals navigating treatment, recovery, and return-to-work goals. This role exists to ensure appropriate, cost-effective care while supporting the responsible stewardship of public resources. You will act as a bridge between claims adjusters, medical providers, employers, and government agency representatives, synthesizing complex clinical information into clear, objective reports that drive accurate and timely claims decisions.

In this position, you will manage a dynamic caseload from intake through closure, conducting telephonic and, when necessary, on-site or virtual assessments to evaluate medical status and functional capacity. A key part of your day involves educating claimants and families on treatment expectations and self-management strategies, while collaborating with treating providers to confirm medical necessity and coordinate interventions. You will work within a mission-driven team focused on helping individuals access appropriate care, supporting positive health outcomes, and contributing to continuous improvement initiatives by identifying trends and recommending process enhancements.

Hiring Process

Candidates selected for this role will be invited to participate in a series of interviews designed to assess clinical expertise, communication skills, and cultural fit. The process typically includes a review of professional credentials, followed by discussions with hiring managers and team members to explore experience with government programs and case management strategies.

Equal Opportunity

Managed Care Advisors and Sedgwick are committed to fostering an inclusive environment where diverse perspectives drive innovation. We are an equal opportunity employer and consider qualified applicants regardless of background, race, color, religion, gender, sexual orientation, age, disability, or veteran status.