Clinical Team Lead

Sedgwick • Telecommuter WI, WI

3d • Hybrid

About The Position

To ensure efficient, cost effective, and high quality delivery of case management services to clients for a single business line by supervising and training a staff of assigned colleagues; and to ensure customer satisfaction through the provision of these services and through dealing directly with workers compensation claims managers, supervisors and examiners utilizing the account management process.

Requirements

• Bachelor's degree or higher in a health-related field AND licensure as a health professional (where such licensure is available) AND certification as a case manager OR Professional certification in a clinical specialty with three (3) years experience as case manager AND certification as case manager if directly supervising case management process
• Six (6) years of related experience or equivalent combination of education and experience required to include three (3) years of medical case management and two (2) years of clinical experience.
• DOL experience required.
• Solid knowledge of medical case management
• Knowledge of resources available regarding the regulations and parameters of third party reimbursement
• Knowledge of statutory requirements of different state jurisdictions
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Leadership/management/motivational skills
• Strong 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

• Supervisory experience preferred.

Responsibilities

• Supervises, coordinates, and reviews the work of assigned staff for a single business line.
• Acts as liaison between telephonic and onsite case management.
• Works with Program Manager to provide account support including, but not limited to data collection and analysis, attending client meetings, and recommending improvements to specified program(s).
• Assures achievement of unit financial goals and customer service/satisfaction goals.
• Provides expert medical and product support to staff.
• 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.

Benefits

• Blended work environment
• On-going learning and professional growth opportunities
• Strong team environment and a culture of support
• Three Medical, and two dental plans to choose from.
• Tuition reimbursement eligible.
• 401K plan that matches 50% on every $ you put in up to the first 6% you save.
• 4 weeks PTO your first full year.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level