Medical Case Manager Team Lead (Remote)

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