9 Community & Social Care jobs in Columbus

**JOB DESCRIPTION**
For this position we are seeking a Licensed Social Worker who lives in OHIO and must be licensed for the state of OHIO.
Candidate must have a current active LSW or LISW
This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position will have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. This position requires field work doing assessments with members face to face in homes.
TRAVEL in the field to do member visits in the surrounding areas will be required: Columbus OH - (Mileage is reimbursed)
Schedule - Monday thru Friday 800 AM to 5 PM EST (No weekends or Holidays
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Completes face-to-face comprehensive assessments of members per regulated timelines.
+ Facilitates comprehensive waiver enrollment and disenrollment processes.
+ Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
+ Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
+ Promotes integration of services for members including behavioral health care and long-term services and supports, home and community to enhance the continuity of care for Molina members.
+ Assesses for medical necessity and authorize all appropriate waiver services.
+ Evaluates covered benefits and advise appropriately regarding funding source.
+ Conducts face-to-face or home visits as required.
+ Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
+ Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
+ Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.
+ Identifies critical incidents and develops prevention plans to assure member's health and welfare.
+ 50-75% local travel required.
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION:**
+ Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology, gerontology, public health or social work OR any combination of education and experience that would provide an equivalent background
**REQUIRED EXPERIENCE:**
+ At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
+ 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
**PREFERRED EXPERIENCE:**
+ 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
+ 1 year experience working with population who receive waiver services.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
Active and unrestricted Certified Case Manager (CCM)
Active, unrestricted State Nursing license (LVN/LPN) OR Clinical Social Worker license in good standing
Valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation
**STATE SPECIFIC REQUIREMENTS:**
For the state of Wisconsin:
Bachelor's degree or more advanced degree in the human services area and a minimum of one (1) year experience working with at least one of the Family Care target populations; or
Bachelor's degree or more advanced degree in any area other than human services with a minimum of three (3) years' experience working with at least one of the Family Care target populations.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Ohio Mentor** **,** **a part of the Sevita family** **,** provides Residential and Treatment Foster Care services to youth who may be facing out-of-home placements, transitioning back into the family home or independent living alternatives, or involved in the juvenile justice system. Through our personalized programming, we help youth gain stability, comfort and confidence to overcome all challenges and live well. If you are passionate about making a difference in the lives of individuals and families, join our mission-driven team and experience a career well lived.
**Foster Care Case Manager**
Everybody needs a job but only extraordinary people work here. Our team is creative and dedicated to making a difference every day in the lives of the people we serve.
+ Coordinate the development, review, and implementation of services, case management, behavior intervention plans, and treatments provided to individuals served.
+ Oversee all services provided to individuals and their families, monitor quality of care delivered, ensure compliance with contractual terms, and monitor regulatory program compliance.
+ Assist in the development of quality services and engaging activities that meet the individual served needs.
+ Build and maintain relationships with families and external case managers.
**_Qualifications:_**
+ Bachelor's degree in human services or related field.
+ One year of work-related experience working with youth placed at-risk preferred.
+ Current driver's license, car registration, and auto insurance.
+ Licensure and training as required by state such as CPR, First Aid, Behavioral Intervention Techniques, etc.
+ A reliable, responsible attitude and a compassionate approach.
+ A commitment to quality in everything you do.
**_Why Join Us?_**
+ Full compensation/benefits package.
+ 401(k) with company match.
+ Paid time off and holiday pay.
+ Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers.
+ Enjoy job security with nationwide career development and advancement opportunities.
**We have meaningful work for you - come join our team -** **_Apply Today!_**
**Join Our Team**
If you are passionate about making a difference in the lives of individuals and families, we encourage you to join **Ohio Mentor's** mission of helping everyone live a full and happy life. Apply today and start your journey toward a rewarding career well-lived.
_As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law._

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
Field Case Manager-Sign-On Bonus Eligible
**We are growing all across the US and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5 years of prior Workers Compensation experience in order to be considered.**
**PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office.
**ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
+ Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.
+ Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals.
+ Enjoy flexibility and autonomy in your daily work, your location, 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**
+ Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process.
+ Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation.
+ Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source
**EDUCATION AND LICENSING**
RN licensure preferred; or bachelor's degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver's license required. High speed internet required.
**TAKING CARE OF YOU BY**
+ Offering a blended work environment.
+ Supporting meaningful work that promotes critical thinking and problem solving.
+ Providing on-going learning and professional growth opportunities.
+ Promoting a strong team environment and a culture of support.
+ Recognizing your successes and celebrating your achievements.
+ We offer a diverse and comprehensive benefits package including:
+ Three Medical, and two dental plans to choose from.
+ Tuition reimbursement eligible.
+ 401K plan that matches 50% on every $ you put in up to the first 6% you save.
+ 4 weeks PTO your first full year.
**NEXT STEPS**
If your application is selected to advance to the next round, a recruiter will be in touch.
#nurse #fieldcasemanager
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 $0,000- 95,000/quarterly bonus eligibility and Sign on Bonus Eligible. 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. _"Always accepting applications."_
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

**Job Description**
**About the Role:**
As a Community Engagement Manager for OCI, you will be responsible for building meaningful partnerships and engagement opportunities between OCI, educational institutions, community organizations, and industry partners-especially in Texas but also across the US. This role is critical to boosting Oracle's brand presence, developing workforce pipelines, and demonstrating corporate responsibility.
**Key Responsibilities:**
+ **Community Engagement:** Sponsor, organize, and participate in local and regional community events, particularly within the technology and cloud computing sectors, to build awareness of OCI and highlight Oracle's commitment to positive community involvement.
+ **Education Partnerships:** Develop and manage partnerships with colleges, community colleges, and technical/vocational schools to create internship and apprenticeship programs, and to establish pipelines for future cloud and technical talent.
+ **Workforce Development:** Collaborate with educational institutions and training programs to help align curricula with OCI's evolving skill requirements and identify future talent prospects.
+ **Vendor and Supplier Outreach:** Identify and engage local and diverse vendors to strengthen OCI's supply chain and foster deeper investment in local economies.
+ **Market Integration:** Act as OCI's ambassador in civic, technology, and educational forums, ensuring OCI is a visible and valued community partner in Texas and other US markets.
+ **Brand Building:** Partner with Oracle's Marketing and Communications teams to extend OCI's presence, particularly in new markets, and support local recruitment efforts through targeted outreach and storytelling.
**Preferred Qualifications:**
+ Bachelor's degree or equivalent work experience in Communications, Public Relations, Business, Community Engagement, or related field.
+ Knowledge of technology trends and interest in cloud infrastructure; prior experience in the technology sector is a plus.
+ Proven track record in community engagement, partnership building, or workforce development.
+ Excellent interpersonal, project management, and organizational skills.
+ Exceptional verbal and written communication abilities.
+ Ability to effectively collaborate with diverse stakeholders, including education leaders, technology partners, vendors, and community organizations.
+ Passion for community impact, diversity and inclusion, and talent development.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.

Description
AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we're the people who keep the cloud running. We support all AWS data centers and all of the servers, storage, networking, power, and cooling equipment that ensure our customers have continual access to the innovation they rely on. We work on the most challenging problems, with thousands of variables impacting the supply chain - and we're looking for talented people who want to help.
You'll join a diverse team of software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people across AWS to help us deliver the highest standards for safety and security while providing seemingly infinite capacity at the lowest possible cost for our customers. And you'll experience an inclusive culture that welcomes bold ideas and empowers you to own them to completion.
AWS is hiring a Community Engagement Coordinator to help delivery and execute programs and initiatives for the AWS Data Center Community. This position will be based out of Columbus, Ohio or Arlington, Virginia.
We are seeking a dynamic and passionate Community Engagement Coordinator to develop, implement, and manage community outreach programs that strengthen relationships between our organization and the communities we serve. This role requires excellent communication skills, cultural sensitivity, and the ability to build meaningful partnerships with diverse stakeholders. Our team launches long-term, innovative programs that will have a lasting impact in our regions around the world where we work, live, and raise our families. We are obsessed with being good neighbors, and we start with the community and work backwards to represent infrastructure communities inside AWS.
Key job responsibilities
*Design and execute community engagement strategies and initiatives
*Serve as the primary liaison between the organization and community members, groups, and organizations
*Coordinate and facilitate community meetings, events, and workshops
*Develop and maintain relationships with key community stakeholders, including local leaders, nonprofit organizations, and government agencies
*Create and manage communication channels to keep communities informed and engaged
*Track, measure, and report on community engagement metrics and program outcomes
*Manage community feedback processes and ensure concerns are addressed appropriately
*Coordinate volunteer programs and community service initiatives
*Maintain accurate records of community interactions and engagement activities
*Support the development of community-focused content for various communication channels
About the team
*Why AWS*
Amazon Web Services (AWS) is the world's most comprehensive and broadly adopted cloud platform. We pioneered cloud computing and never stopped innovating - that's why customers from the most successful startups to Global 500 companies trust our robust suite of products and services to power their businesses.
*Diverse Experiences*
Amazon values diverse experiences. Even if you do not meet all of the preferred qualifications and skills listed in the job description, we encourage candidates to apply. If your career is just starting, hasn't followed a traditional path, or includes alternative experiences, don't let it stop you from applying.
*Work/Life Balance*
We value work-life harmony. Achieving success at work should never come at the expense of sacrifices at home, which is why we strive for flexibility as part of our working culture. When we feel supported in the workplace and at home, there's nothing we can't achieve in the cloud.
*Inclusive Team Culture*
Here at AWS, it's in our nature to learn and be curious. Our employee-led affinity groups foster a culture of inclusion that empower us to be proud of our differences. Ongoing events and learning experiences, including our Conversations on Race and Ethnicity (CORE) and AmazeCon (gender diversity) conferences, inspire us to never stop embracing our uniqueness.
*Mentorship and Career Growth*
We're continuously raising our performance bar as we strive to become Earth's Best Employer. That's why you'll find endless knowledge-sharing, mentorship and other career-advancing resources here to help you develop into a better-rounded professional.
Basic Qualifications
- Bachelor's degree in Political Science, Communications, Public Relations, or related field
- Minimum 5 years of experience in community outreach or nonprofit sector
- Strong verbal and written communication skills
- Demonstrated ability to work effectively with diverse populations
Preferred Qualifications
- Experience with community-based organizations or nonprofits
- Knowledge of local community dynamics and resources
- Experience with event planning and coordination
- Familiarity with data collection and analysis tools
- Background in project management or program development
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $74,400/year in our lowest geographic market up to $159,200/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit . This position will remain posted until filled. Applicants should apply via our internal or external career site.

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
Disability Representative
**Disability Representative**
**Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near:**
**Dublin, OH** : 5500 Glendon Court Dublin OH 43016
Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands.
+ An assigned mentor and manager who will guide you on your career journey.
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**PRIMARY PURPOSE OF THE ROLE:**
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.
**ARE YOU AN IDEAL CANDIDATE?**
We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
+ Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
+ Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.
**QUALIFICATIONS**
+ Education & Licensing: High school diploma or GED required.
+ Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required
+ PC literate, including Microsoft Office products, Windows environment.
+ Must meet minimum typing requirements.
+ Experience: Clerical or customer service experience or equivalent combination of education and experience preferred
**TAKING CARE OF YOU**
+ Entry-level colleagues are offered a world class training program with a comprehensive curriculum.
+ An assigned mentor and manager that will support and guide you on your career journey.
+ Career development and promotional growth opportunities
+ A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more.
Work environment requirements:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking.
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
_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 a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 19.50). 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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

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
Disability Representative Sr.
**Senior Disability Representative - Make a Meaningful Impact**
**Location:** **Hybrid work model with in-office collaboration. Candidates must reside near one of our Centers of Excellence.**
**Dubuque, IA** : 4141 Westmark Drive, Dubuque, IA 52002
**Cedar Rapids, IA** : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401
**Coralville, IA:** 3273 Ridgeway Drive Coralville IA 52241
**Dublin, OH** : 5500 Glendon Court Dublin OH 43016
**New Albany, OH** : 7795 Walton Parkway New Albany, OH 43054
**Chicago, IL :** 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604
**Indianapolis, IN:** 8909 Purdue Road Suite 501 Indianapolis, IN 46268
**Irving, TX** : 2201 W. Royal Lane Suite 125 Irving, TX 75063
**Memphis, TN :** 8125 Sedgwick Way, Memphis TN 38125
**Southfield, MI** : 300 Galleria Officentre Southfield MI 48034
**Orlando, FL :** 12650 Ingenuity Dr Orlando FL 32826
**Eden Prairie, MN** : 11000 Prairie Lakes Drive Eden Prairie, MN 55344
**West Hills, CA** : 8521 Fallbrook Ave West Hills, CA 91304
**PRIMARY PURPOSE** :
**At Sedgwick,** **caring counts** **. We're a global leader in claims management, and we're looking for experienced, compassionate professionals to join us as** **Senior Disability Representatives** **. If you're someone who thrives in a collaborative environment, values integrity, and wants to make a real difference in people's lives-this is your opportunity.**
**What You'll Do**
**As a Senior Disability Representative, you'll be a trusted guide for individuals navigating complex disability claims. You'll use your expertise to assess medical documentation, determine benefits, and support return-to-work strategies-all while delivering exceptional service with empathy and precision.**
**Key responsibilities include:**
**Independently evaluating and managing complex disability claims.**
**Interpreting medical records and disability plans to determine eligibility.**
**Handling claims involving comorbidities, ADA accommodations, and concurrent plans.**
**Collaborating with healthcare providers and employers to facilitate return-to-work.**
**Communicating clearly and compassionately with claimants and clients.**
**Coordinating investigative efforts and referrals to external vendors when needed.**
**Maintaining strong client relationships and upholding Sedgwick's quality standards.**
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
**Independently evaluates complex disability claims and makes approval decisions based on received documentation, or recommends denial to the team lead in alignment with the disability plan.**
**Carefully reviews and interprets detailed medical records-including attending physician statements, office notes, and operative reports-to assess whether the claimant meets the plan's definition of disability.**
**Oversees multifaceted claims involving comorbid conditions, overlapping benefit plans, ADA accommodations, and cases that fall outside standard guidelines.**
**Applies clinical resources such as duration guidelines and consults with in-house clinicians to support case assessments when necessary.**
**Calculates benefits due under the disability plan and ensures timely processing of payments, approvals, and adjustments-including offsets for workers' compensation, Social Security Disability Income (SSDI), and other applicable sources.**
**Clearly communicates with claimants regarding required documentation, timelines, payment details, and claim status through phone calls, written correspondence, and system updates.**
**Engages with healthcare providers to establish expectations for return-to-work timelines and accommodations.**
**Manages complex disability claims with a focus on medical compliance, duration control, and adherence to plan provisions.**
**Maintains consistent and transparent communication with claimants and clients throughout the claims process via phone, written updates, and system documentation.**
**Coordinates investigative efforts to ensure thorough and appropriate claim reviews.**
**Identifies when claims require external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional capability assessments.**
**Facilitates return-to-work negotiations with or without accommodations, collaborating with the claimant's physician and employer.**
**Escalates cases to the team lead or clinical case management for further review when appropriate.**
**Builds and maintains professional relationships with clients, delivering high-quality customer service.**
**Meets or exceeds the organization's quality standards and program requirements.**
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
**Performs other duties as assigned.**
**QUALIFICATIONS**
**Education & Licensing**
**High school diploma or GED is required.**
**Bachelor's degree from an accredited college or university is preferred.**
**State certification or licensing in statutory leaves is preferred or may be required depending on local regulations.**
**Experience**
**Preferred: Three (3) years of experience in benefits or disability case/claims management, or an equivalent combination of education and experience.**
**Skills & Knowledge**
**Solid understanding of ERISA regulations, disability offsets and deductions, medical management practices, and Social Security Disability application procedures.**
**Familiarity with federal and state FMLA regulations.**
**Working knowledge of medical terminology and duration management.**
**Strong verbal and written communication skills, including the ability to present information clearly.**
**Proficiency in Microsoft Office and general computer systems.**
**Analytical mindset with strong interpretive and critical thinking abilities.**
**Comfortable navigating ambiguity and making informed decisions.**
**Excellent organizational and multitasking capabilities.**
**Collaborative team player with a commitment to performance excellence.**
**Skilled in negotiation and autonomous decision-making within established procedures.**
**Ability to exercise sound judgment and maintain discretion.**
**WORK ENVIRONMENT**
When 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 deadlines
**Physical** **:** Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required.
**Auditory/Visual** **:** Hearing, vision and talking
**Ready to Make a Difference?**
**Apply today and become part of a team that's redefining care and support in the workplace. At Sedgwick, your work matters-and so do you.**
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.
_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 $20.39 - $24.00 USD Hourly_ _. 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._
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity

Grow your career with Brookdale! Our Caregivers have the option to explore exciting opportunities for advancement in positions such as Certified Nursing Assistant (CNA/STNA) and Medication Technician (QMAP).

Make Lives Better Including Your Own.

If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.

Part and Full Time Benefits Eligibility

• Medical, Dental, Vision insurance
• 401(k)
• Associate assistance program
• Employee discounts
• Referral program
• Early access to earned wages for hourly associates (outside of CA)
• Optional voluntary benefits including ID theft protection and pet insurance

Full Time Only Benefits Eligibility

• Paid Time Off
• Paid holidays
• Company provided life insurance
• Adoption benefit
• Disability (short and long term)
• Flexible Spending Accounts
• Health Savings Account
• Optional life and dependent life insurance
• Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan
• Tuition reimbursement

Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program.

Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.

The application window is anticipated to close within 30 days of the date of the posting.

• Caregivers provide direct care to residents, recognize individual needs, encourage independence and treat each senior with respect and dignity.
• You will assist residents with activities of daily living, including bathing, dressing, grooming and other personal care needs, as well as help residents with vacuuming, dusting, sweeping, mopping and dishes.
• Engage residents in meaningful conversations and provide attentive care.
• Based on state regulation, completion of training/certification may be required.

Brookdale is an equal opportunity employer and a drug-free workplace.