Clinical Director-Behavioral Health

Sedgwick

1d•$78,000 - $80,000•Hybrid

About The Position

The Clinical Director-Behavioral Health is responsible for ensuring the efficient, cost-effective, and high-quality delivery of case management and utilization review services to clients across multiple business lines. This role involves managing and training multiple units of colleagues located in claims offices and on-site at client locations. The position requires expertise in client-specific case management and utilization review requirements, with a focus on ensuring customer satisfaction. Sedgwick is recognized as a Great Place to Work® and a Fortune Best Workplaces in Financial Services & Insurance, offering a caring culture and work-life balance.

Requirements

Master's degree from an accredited college or university in social work, psychology, or counseling required.
Independent clinical license at the master’s level- Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LICSW), Licensed Master Social Worker (LMSW), Certified Independent Practice Social Worker (CIPSW), Independent Social Worker (ISW), Licensed Clinical Professional Counselor (LCPC), or Licensed Professional Clinical Counselor (LPCC), or equivalent in colleague state required.
Six (6) years of related experience or equivalent combination of education and experience required to include four (4) years of clinical experience.
Ten (10) years of related experience or equivalent combination of education and experience required to include five (5) years medical case management, five (5) years clinical and two (2) years supervisory experience.
Knowledge of multiple business line medical case management environments.
Knowledge of resources available regarding the regulations and parameters of third-party reimbursement.
Knowledge of statutory requirements of state's jurisdiction as appropriate to job.
Excellent oral and written communication, including presentation skills.
PC literate, including Microsoft Office products.
Leadership/management/motivational skills.
Analytical and interpretive skills.
Strong organizational skills.
Excellent interpersonal skills.
Excellent negotiation skills.
Ability to work in a team environment.
Ability to meet or exceed Performance Competencies.

Nice To Haves

Workers compensation or disability experience preferred.

Responsibilities

Manages overall clinical operations for more than 3 assigned teams/programs and/or projects.
Develops and implements clinical objectives and initiatives.
Assists with the implementation of new business plans with goals and objectives for assigned locations/offices.
Provides expert medical and product support to Sedgwick claims and clinical staff.
Promotes and adheres to all URAC standards and assures compliance to maintain successful URAC certification.
Identifies challenges and creates solutions for recruitment, hiring, staffing, process management, and training needs.
Plans for staffing needs, including succession, bench-strength, and new business.
Supervises, coordinates, and reviews the work of assigned staff.
Assists in establishing policy and procedures to assure compliance to best practices, clinical management services standards, state regulations, and client service requirements.
Monitors management reports relating to area/office performance.
Delivers corporate training for clinical staff in conjunction with Sedgwick University.
Provides direct oversight of the clinical orientation program.
Coordinates with Sedgwick University for certification of training materials.
Provides assistance to the Director Clinical Operations in making budget recommendations.
Manages budget to ensure achievement of unit financial goals.
Ensures effective deployment of strategic project plans.
Identifies potential new product opportunities, processes, and protocols.
Participates in presentations to clients, prospects, and colleagues.
Supports and interfaces with account management.
Provides expertise in client-specific case management and utilization review requirements.
Develops and maintains positive productive relationships.
Performs other duties as assigned.
Supports the organization's quality program(s).
Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
Interviews, hires, and establishes colleague performance development plans.
Conducts colleague performance discussions.
Provides support, guidance, leadership, and motivation to promote maximum performance.