Job description
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
PRIMARY PURPOSE: To assist in the supervision, training, coordination, and review of work performed by assigned staff; to establish, address and assess case and unit goals; and to ensure efficient, cost effective, and high quality delivery of services to clients by assisting in the supervision and training of assigned staff.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Assists in the supervision, training, coordination, and review of work performed by assigned staff.- Establishes and maintains collaborative relationships with internal claims colleagues, providers, field case management (FCM) staff, clients, and other external managed care vendors.
- Provides case directions and supervision to field case management/utilization review.
- Establishes case and unit goals to achieve optimal outcome; provides ongoing assessment and addresses team goals.
- Facilitates closure based on goals and return-to-work issues.
- Acts as liaison between telephonic and onsite case management as applicable.
- Assures achievement of customer service/satisfaction goals.
- Manages assigned cases and monitors team’s case load.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.- Supports the organization's quality program(s).
- Travels as required.
SUPERVISORY RESPONSIBILITIES
- 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.
QUALIFICATIONS
Education & Licensing
One of the following is required:
- Bachelor's degree in 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 case manager required if directly supervising case management process for three (3) years.
Experience
Six (6) years related experience to include three (3) years case management experience required. Supervisory experience preferred.
Skills & Knowledge
Solid knowledge of multiple product lines of medical case management and/or utilization review and/or clinical consultation- 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
- Superior knowledge of clinical software system(s) with ability to impart that knowledge to new colleagues
- Leadership/management/motivational skills
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal 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
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.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 55,731.00 - 78,023.00 USD Annual. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
www.colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, www.colinoncars.com is the ideal place to find your next job.