Clinical Team Lead

Sedgwick•Pascagoula, MS

5d•Hybrid

About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Clinical Team Lead This position will be a hybrid role--3 days in office, 2 days work from home and rotates each week: the following week 2 days in office and 3 days work from home. PRIMARY PURPOSE : 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. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

Requirements

One of the following is required: RN licensure preferred Bachelor's degree or higher in a health-related field AND licensure as a health professional (where such licensure is available) OR 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.
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.
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.
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.