Position Title: Medical Case Manager Team Lead (Remote) 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 OverviewAre 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<ul><li>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.</li><li>Responsible for scheduling staff to ensure all accounts are covered adequately and advise management with staffing recommendations</li><li>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.</li><li>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.</li><li>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.</li><li>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.</li><li>Provide supplemental support and assistance to Case Managers during staff transition and/or spikes in assigned caseloads.</li><li>Support the development and enhancement of corporate policies and protocols that relate to case management services.</li><li>Conduct periodic reviews of designated cases for quality improvement, support implementation, and monitoring of quality improvement plans.</li><li>Provide Customer Support in designated areas and assists regional CM in the delivery of customer support.</li><li>Participate as a member of committees, as designated by MCM Director, Manager, and SVP CM.</li><li>Assist Senior Vice President, Director, and Manager in administrative functions as requested.</li><li>May perform other duties, as needed, to meet the needs of the business</li></ul> Qualifications<ul><li>Bachelor of Science Nursing or Associate in Nursing (ASN) or Nursing Diploma</li><li>Unrestricted Current State Registered Nurse License</li><li>National certification in case management</li><li>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.</li><li>3-5 years related clinical experience 1 year in workers' compensation, utilization review, disability case management, occupational health, and/or comparable field.</li><li>3-5 years program and staff management</li><li>Prior supervisory experience preferred</li><li>Effectively counsel and coach colleagues on performance and behavioral improvements. </li><li>Possess personal qualities of integrity, credibility, and commitment to the corporate mission</li><li>Strong ability to organize, coordinate, and direct projects</li><li>Excellent people skills, with an ability to partner with a dynamic leadership team</li><li>United States Citizenship</li><li>Ability to obtain and maintain a government security clearance</li></ul> 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 InformationSuccessful 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 SedgwickSedgwick 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. Privacy Sedgwick Terms and Conditions Sedgwick PI64b739bdb79d-1059<img src="https://www.jobg8.com/Tracking.aspx?qkvuLhrZfnzqnqvLpzowjgt" width="0" height="0" />

As a Medical Case Manager Team Lead, you will supervise and mentor Medical Case Management personnel, manage individual caseloads, conduct performance evaluations, and support quality improvement efforts. Leverage strong communication and organizational skills to enhance corporate policies and provide customer support, while making a meaningful impact on the lives of injured workers. Join a dynamic team and contribute to a mission where caring truly counts.

**Medical Case Manager Team Lead**

**Location:** Orlando, FL, USA

**Job Description:**

Remote Medical Case Manager Team Lead - Nation-Wide Position

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 that 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.

**Requirements:**

- 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. 

**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

Medical Case Manager Team Lead (Remote)

Position Title: Medical Case Manager EI (Remote) Location: Dublin, OH, USA Job Category: Medical Case Management Job Type: Full Time Description: DescriptionMedical Case Manager EI - Remote Nation WideSalary Range: $75,000 - $80,000 depending on experience and qualifications. OverviewAre you looking to make a difference by providing high-quality care with a personal touch that impacts the lives of workers? Would you like to be part of a team focused on empowering and sustaining health by supporting the occupationally injured? Do you have the professional nursing, case management experience, and licenses necessary to help further establish MCA as a leading case management company? Do you have experience with workers' compensation? We believe in helping those with work-sustained illnesses and injuries to live their best life by providing care, health management, and support through our highly skilled team of home-based Medical Case Managers (MCM). ResponsibilitiesAs Medical Case Manager you will work independently in your home office setting while still being part of a supportive nationwide team. Through the application of a unique mix of experience and certification, you will support federal workers with diagnoses in the fields of occupational-related injuries and illness, emphasize timely facilitation and coordination of diagnosis, and be involved in the acute and chronic phases of treatment and support. Your broad responsibilities will include developing a case management plan for each injured worker throughout the various stages of recovery while tracking in a database patient improvement goals. You will implement integrated medical disability case management services with the goal of preventing, minimizing, or overcoming a disability as well as provide medical expertise and serve as the critical communication link between the parties involved in any medical disability case. Qualifications<ul><li>Unrestricted State Registered Nursing License</li><li>3-5 years related clinical experience in medical case management, workers' compensation, occupational health, and/or a comparable field. </li><li>3+ years of case management experience</li><li>Preference is given to Nurses with National Certification in case management or related fields. National Certification may be obtained within 12 months of the date of hire</li><li>Attention to detail, timetables, and commitment to completing tasks</li><li>Computer literacy, including MS Word, Excel, and Outlook</li><li>Experience with Microsoft Windows and computer savvy</li><li>Must be well organized, efficient, and able to work independently and within a team</li><li>Responsible for having reliable High-Speed Cable or Fiber Optic Internet service and Internet Router in established home office</li><li>Must have Excellent Communication Skills via Phone, E-Mail, Text, Verbal, and Documentation Skills and provide 24-hour follow-up to all communication</li><li>U.S. Citizenship</li><li>Prior to hiring and training able to pass a preliminary credit and background check</li><li>Upon hire, federal security clearance will be required</li></ul> 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 ($75,000 - $80,000). 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. 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 InformationSuccessful 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 in the event that 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 on the basis of 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 SedgwickSedgwick 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. Privacy Sedgwick Terms and Conditions Sedgwick PI6773b9f5e2a7-7898<img src="https://www.jobg8.com/Tracking.aspx?1EhvDzgDKNg1T92uir5y1Qq" width="0" height="0" />

As a Medical Case Manager, you will work remotely to support federal workers with occupational injuries and illnesses. Responsibilities include developing case management plans, coordinating diagnoses, implementing integrated medical disability services, and serving as a communication link. You will be part of a supportive nationwide team, focusing on timely facilitation and coordination of care to prevent or minimize disabilities.

**Medical Case Manager EI (Remote)**

**Location:** Dublin, OH, USA

**Job Description:**

- Work independently in a home office setting while being part of a supportive nationwide team.
- Support federal workers with occupational-related injuries and illnesses.
- Emphasize timely facilitation and coordination of diagnosis.
- Involve in the acute and chronic phases of treatment and support.
- Develop a case management plan for each injured worker throughout recovery stages.
- Implement integrated medical disability case management services.
- Serve as the critical communication link in medical disability cases.

**Requirements:**

- Unrestricted State Registered Nursing License.
- 3-5 years of related clinical experience in medical case management or related fields.
- 3+ years of case management experience.
- Preference for nurses with National Certification in case management (to be obtained within 12 months if not already certified).
- Attention to detail and commitment to completing tasks.
- Computer literacy, including MS Word, Excel, and Outlook.
- Must have reliable High-Speed Internet service.
- Excellent communication skills via phone, email, text, verbal, and documentation.
- U.S. Citizenship.
- Ability to pass a preliminary credit and background check.
- Federal security clearance required upon hire.

**Professional Development:**

- Opportunity to work in a challenging and rewarding career path.
- Join a talented team at Sedgwick Government Solutions.

**Compensation and Benefits:**

- Salary Range: $75,000 - $80,000 depending on experience and qualifications.
- Comprehensive benefits package, including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, and more.

**Community Overview:**

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick, a leading global provider of technology-enabled risk, benefits, and integrated business solutions. With more than 27,000 colleagues across 65 countries, Sedgwick is dedicated to taking care of people and organizations by mitigating risks, promoting health and productivity, and protecting brand reputations.

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