Medical Case Manager Team Lead (Remote) 2024-1369 - Managed Care Advisors

Position Title: Medical Case Manager Team Lead (Remote) 2024-1369

Location: Orlando, FL, USA

Job Category: Medical Case Management

Job Type: Full Time

Description:

Remote Medical Case Manager Team Lead - Nation-Wide Position

Salary Range: $81,000.00 - $89,000.00 depending on experience and qualifications

Overview

Are you energized by working in and making a difference in the lives of injured workers? Do you have excellent communication skills, strong supervisory, customer service, and organizational skills, and want to be part of an organization where caring truly counts? Join our team of caring colleagues and help us make a difference in the lives of injured workers.

As a Medical Case Manager Team Lead, you will work remotely in your home office and be responsible for assisting with interviewing, training, orientation, and mentoring of Medical Case Management (MCM) personnel, and provide support to the Director or Manager based on assignments.

Responsibilities

• Provide direct supervision of assigned team members, with support to MCM Supervisors of other teams, as per the needs of the department and as directed by MCM Director or MCM Manager.
• Responsible for scheduling staff to ensure all accounts are covered adequately and advise management with staffing recommendations
• Manage individual caseload and customer service responsibilities as assigned, with a caseload volume comparable to supervisor duties and, in consideration of the needs of the Unit.
• Provide a second level of CM oversight and intervention for cases requiring specialized knowledge and/or skill, which may include cases, which are high profile, congressional, potential media events, highly litigated, fraudulent, and/or long-term disability.
• Provide direct supervision to case managers in the assigned team in the application of corporate policies and procedures, case management protocols, timesheet review and approval, PTO review and approval, and expense review.
• Conduct mid-year and annual Performance Evaluations as per MCA policies with ad hoc review, as needed, and follow-up actions, as indicated by review.
• Provide supplemental support and assistance to Case Managers during staff transition and/or spikes in assigned caseloads.
• Support the development and enhancement of corporate policies and protocols that relate to case management services.
• Conduct periodic reviews of designated cases for quality improvement, support implementation, and monitoring of quality improvement plans.
• Provide Customer Support in designated areas and assists regional CM in the delivery of customer support.
• Participate as a member of committees, as designated by MCM Director, Manager, and SVP CM.
• Assist Senior Vice President, Director, and Manager in administrative functions as requested.
• May perform other duties, as needed, to meet the needs of the business

Qualifications

• Bachelor of Science Nursing or Associate in Nursing (ASN) or Nursing Diploma
• Unrestricted Current State Registered Nurse License
• National certification in case management
• A minimum of 5 years of related experience. It is preferable that at least 2 years of experience are related to FECA or a comparable field per program/contract.
• 3-5 years related clinical experience 1 year in workers' compensation, utilization review, disability case management, occupational health, and/or comparable field.
• 3-5 years program and staff management
• Prior supervisory experience preferred
• Effectively counsel and coach colleagues on performance and behavioral improvements.
• Possess personal qualities of integrity, credibility, and commitment to the corporate mission
• Strong ability to organize, coordinate, and direct projects
• Excellent people skills, with an ability to partner with a dynamic leadership team
• United States Citizenship
• Ability to obtain and maintain a government security clearance

For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.

Sedgwick Government Solutions 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 ($81,000.00 - $89,000.00). 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.

To be considered for this position, please submit a resume, and complete the application.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid if the person is hired by Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation to complete the application process, please contact Government Solutions regarding accommodations.

Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals based on disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.comPrivacy | SedgwickTerms and Conditions | Sedgwick

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