Job Summary
Under the direction of the Director of Clinical Operations, the Case Management Team Leader oversees the operations and functions of specified Nurse Case Management staff. This staff may include Field/Telephonic Case Managers as well as clinical/administrative personnel dedicated to specialized nursing programs. Collaborating with the other Clinical Managers and the Executive Team, the Case Management Team Leader ensures that his or her assigned team(s) and program(s) meet the expectations of our company and clients.
Position Logistics: Full-time, non-exempt status, occasional travel required
Responsibilities may include, but are not limited to:
Responsible for the overall delivery of CM services in compliance with local, state, and federal
regulations, as well as the organization's policies and procedures
Direct supervision of Nurses and other staff members, which requires:
o Evaluating individual staff performance, overseeing QA evaluation, ensuring high
quality performance and customer satisfaction
o Forecasting staffing needs based on existing inventory and potential business
growth
o Participating in the interview process to hire new staff, as needed
o Attending regular teleconferences/meetings to review specific customer
data/results and provide input necessary for the specified program
o Planning, coordinating and participating in staff in-services and training seminars
o Completing actual work in case management, as appropriate and needed
o Managing ongoing development of nursing programs, including orientation and
customer training, as needed
o Conducting personnel management meetings (including terminations) with
assigned staff, as needed
Collaborate with administrative staff and other departments to ensure accuracy and timeliness
of case intake
Actively communicate with internal and external customers in a timely and effective manner
Collaborates with the AVP of Case Management Services and VP of Operations to develop
written short term and long term plans to implement and facilitate achievement of department
objectives
Review and manage the quality management plan for the CM department (Approximately 25-
30% of total work time spent on QM)
Communicate with all managers on a regular basis to maintain strong internal working
relationships
See new ways of improving service, and keep abreast of industry changes
Some travel required
Other duties as assigned
Requirements
Bachelors degree or equivalent experience preferred
Graduate of an accredited school of nursing
Valid state-appropriate RN license in good standing with no restrictions
Valid CCM in good standing with no restrictions
5-10 years of management experience and exceptional leadership abilities required
Experience in the insurance, workers compensation or related healthcare industries strongly
preferred
Valid Drivers license in good standing
Strong presentation/ public speaking skills required
Strong interpersonal and communication skills; conflict resolution and mediation skills
Ability to foster a collaborative work environment
Must be self-directed and motivated; Must be capable of managing operations independently with minimal direct oversight and supervision on a day-to-day basis
Strong Organization Skills
High comfort level with computers and computer programs (MS Word, MS Excel, Email)
Ability to meet deadlines in a high pressure, time sensitive environment
Ability to lift up to 20 lbs
Sit (approx. 75-100% of the time), stand (approx. 0-25% of the time), type (approx. 75 -
100% of the time) and do the job with or without reasonable accommodation.
EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review services. Our emphasis on medical excellence, superior service, impartial reporting, and case resolution is the driving force behind our consistent annual growth. We are excited about expanding our footprint across the United States as we continue to seek opportunities to Transform Managed Care.
Employees are provided with competitive compensation and benefits, including but not limited to medical, dental, vision, PTO, and 401k. Please visit our website for more information at www.ekhealth.com.
EK is an equal opportunity employer and makes all employment decisions on the basis of merit. EK does not practice, tolerate, or condone unlawful discrimination based on any protected status or the perception of such status.
