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Case Management Supervisor I

CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and “Claim Your Future.”

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 centralized case management specialists and overseeing the management of cases worked by field specialists; 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.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1.Supervises, coordinates, and reviews the work of assigned staff for a single business line.
2.Acts as liaison between telephonic and onsite case management.
3.Participates in account support and management.
4.Assures achievement of unit financial goals and customer service/satisfaction goals.
5.Provides expert medical and product support to staff.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES
1.Performs other duties as assigned.
2.Supports the organization’s quality program(s).

SUPERVISORY RESPONSIBILITIES
1.Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
2.Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
3.Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS
Education & Licensing
Supervisory experience preferred. One of the following is required:

• BS/BA degree or higher in a health-related field and licensure as a health professional OR
• Certification as a case manager OR
• Professional certification in a clinical specialty and three (3) years experience as a case manager

NOTE: Certification as a case manager is required if directly supervising the case management process for three (3) or more years.

Experience
Three (3) years clinical plus two (2) years workers compensation experience required. Supervisory experience preferred.

Skills & Knowledge

• Solid knowledge of medical case management
• Knowledge of resources available regarding the regulations and parameters of third party reimbursement
• Knowledge of statutory requirements of state’s jurisdiction
• 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

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace

Need valid Ohio RN license and a Case Management Certification

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/20465663