Manager, Clinical Operations

Lincoln FinancialCharlotte, NC
8dRemote

About The Position

We are excited to bring on a Manager - Clinical Operations, to join our Group Protection Clinical & Vocational Operations team supporting Workplace Solutions in a remote environment. As a Manager - Clinical Operations, you will be responsible for leading and managing a team of nurse disability consultants and behavioral health consultants. This includes partnering closely with medical and vocational operations and serving as a consultant to the claim operations team for complex clinical issues.  What you'll be doing You will use critical thinking to analyze, identify, and develop data, trends, reports, and resources that improve delivery of services. Works with other key areas to continually develop process enhancements. You will maintain knowledge on current and emerging developments/trends, assess the impact, and collaborate with management to incorporate new trends and developments in current and future solutions. You will manage and enhance organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives. You will establish and implement individual and team priorities, performance goals and objectives to ensure completion of responsibility. In addition, you will manage workloads are appropriately balanced among team members. You will provide training and development opportunities, including stretch assignments, for team members and give honest and open feedback to aid in the development of talent. You will manage and evaluate individual/team performance and take appropriate action to meet and/or exceed performance standards. You will identify and recommend process improvements that create efficiencies or improve quality across. You will serve as a resource to team members and internal/external stakeholders on more complex assignments/projects. You will ensure that top talent is hired and retained. You will provide oversight to assure team members work products and interactions meet defined quality indicators. You will ensure prompt and effective customer support and escalation to appropriate stakeholders including but not limited to Sales and Customer Support. You will support attainment and maintenance of appropriate professional certifications. You will manage coordination of external clinical vendor services (peer reviews, IMEs, FCEs) as needed.

Requirements

  • Minimum of 5 years of Disability Management (STD/LTD), Workers Compensation, Utilization Review and/or nurse case management
  • Current Registered Nurse license
  • 4 Year/Bachelor's degree
  • 3- 5 years of managerial, supervisory, and/or demonstrated leadership experience
  • Ability to read, analyze and interpret both internal and external documents such as general media/publications, professional journals, technical procedures, governmental regulations, policies, proposals, and standard operating procedures.
  • Confident, comfortable communicator with strong written and verbal communication skills.

Nice To Haves

  • Ability to work in a fast-paced production environment with the ability to adapt as needed.
  • Ability to work in various excel documents with a high comfort level of mathematical concepts such as addition, subtraction, multiplication, division, averages and/or variances.
  • Ability to articulate/alter provisions – comfortable with contract language.

Responsibilities

  • Use critical thinking to analyze, identify, and develop data, trends, reports, and resources that improve delivery of services.
  • Works with other key areas to continually develop process enhancements.
  • Maintain knowledge on current and emerging developments/trends, assess the impact, and collaborate with management to incorporate new trends and developments in current and future solutions.
  • Manage and enhance organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives.
  • Establish and implement individual and team priorities, performance goals and objectives to ensure completion of responsibility.
  • Manage workloads are appropriately balanced among team members.
  • Provide training and development opportunities, including stretch assignments, for team members and give honest and open feedback to aid in the development of talent.
  • Manage and evaluate individual/team performance and take appropriate action to meet and/or exceed performance standards.
  • Identify and recommend process improvements that create efficiencies or improve quality across.
  • Serve as a resource to team members and internal/external stakeholders on more complex assignments/projects.
  • Ensure that top talent is hired and retained.
  • Provide oversight to assure team members work products and interactions meet defined quality indicators.
  • Ensure prompt and effective customer support and escalation to appropriate stakeholders including but not limited to Sales and Customer Support.
  • Support attainment and maintenance of appropriate professional certifications.
  • Manage coordination of external clinical vendor services (peer reviews, IMEs, FCEs) as needed.

Benefits

  • Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes
  • Leadership development and virtual training opportunities
  • PTO/parental leave
  • Competitive 401K and employee benefits
  • Free financial counseling, health coaching and employee assistance program
  • Tuition assistance program
  • Work arrangements that work for you
  • Effective productivity/technology tools and training
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