Clinical Services Assistant Manager
About The Position
At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together. Position is eligible to work from home anywhere in the US As the Clinical Services Assistant Manager, you'll lead a team of clinical experts and serve as a key partner to Claims, helping deliver better claim outcomes through medical expertise, consultation, and operational leadership. You'll oversee clinical services operations, develop team capabilities, drive process improvements, and expand the impact of clinical resources across the organization. This role is ideal for a clinical leader who enjoys developing people, influencing business decisions, improving processes, and leveraging their nursing and claims expertise to make a meaningful organizational impact.
Requirements
- Current Registered Nurse (RN) license
- Eight years of nursing experience, including at least four years of property and casualty clinical claim oversight
- Advanced knowledge of casualty insurance, medical analysis and research
- Excellent written, verbal and interpersonal skills
- Strong working knowledge of personal computers and software systems
- Excellent organizational, management, and problem-solving abilities
- Ability to work on multiple tasks while meeting deadlines
- Ability to interpret and administer policies and procedures
- Excellent skills in conflict resolution and project coordination
- Ability to maintain a high level of confidentiality
Nice To Haves
- Bachelor’s degree in nursing (BSN) preferred
- Legal Nurse Consultant Certified (LNCC) designation, Case Management (CM), or other applicable designations preferred
- Experience in multiple medical specialties preferred
- Previous leadership or supervisory experience preferred
Responsibilities
- Lead daily clinical services operations, including nurse case management, pharmacy, nurse review, and bill review functions.
- Evaluate referrals and claim complexity, assigning work to internal staff or vendor partners.
- Manage team workload, priorities, turnaround times, and overall service delivery.
- Ensure clinical services are effectively integrated into claims handling processes and partner closely with claim professionals.
- Lead, coach, develop, and monitor the performance of the Clinical Services team.
- Oversee operational reporting, recommend KPIs, and monitor vendor performance and outcomes.
- Partner with Claims leadership to expand clinical services, improve consultation practices, and enhance service quality.
- Support implementation of new tools, clinical programs, regulatory changes, and vendor solutions.
- Identify training needs, develop educational programs, and promote clinical services throughout the organization.
- Drive process improvement initiatives that enhance efficiency, quality, and claim outcomes.
Benefits
- life, medical, dental, vision and prescription drug coverage
- Competitive paid time off plan
- full day of volunteer time off annually
- 401(k) plan match
- pension plan
- OneEMC bonus plan
- recognition and anniversary awards
- Professional development and growth opportunities
- tuition reimbursement
- Wellness initiatives
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What This Job Offers
Job Type
Full-time
Career Level
Manager
