Remote Medical Case Manager Supervisor
Job Summary
Are you looking to make a difference by providing high-quality care with a personal touch that impacts the lives of patients? Would you like to be part of a team focused on empowering and sustaining health by supporting patients? Do you have the nursing case management experience, and licenses necessary to help further establish MCA as a leading case management company?
Your broad responsibilities will include overseeing a service delivery team while providing medical case review services of injured workers' files. Ideal candidates will possess both a nursing leadership background that enables them to supervise, coach, and easily interact with nurse case managers, as well as a professional background that enables them to easily interact and establish deep professional relationships with team members. As a Case Manager Supervisor, you will collaborate with the Early Intervention Manager and Director of the Early Intervention Unit to ensure consistent delivery of case management services.
Case Manager Supervisor Responsibilities:
Work independently in your home office setting while supervising a team of case managers.
Provide direct supervision to case managers in the assigned team in the application of corporate policies and procedures, case management protocols, timesheets, PTO, and expense review and approval.
Uses experience and expertise in the Case Management process and coaches the staff on the RN - the patient-physician collaborative process of assessment, planning, implementation, coordination, monitoring, and evaluation to address patients holistically.
Provide supplemental support and assistance to Case Managers during staff transition and/or spikes in assigned caseloads.
Support the development and enhancement of corporate policies and protocols that relate to case management services.
Conduct periodic reviews of designated cases for quality improvement, support implementation, and monitoring of quality improvement plans.
Provide Customer Support in designated areas and assists regional CM in the delivery of customer support.
Effectively counsel and coach employees on performance and behavioral improvements. Understand and appropriately apply employee disciplinary procedures.
Case Manager Qualifications:
Unrestricted State Registered Nursing License, Nursing diploma, BSN preferred
3-5 years of clinical experience 1 year of workers' compensation, utilization review, disability case management, occupational health, and or comparable field
3-5 years program and staff management
National certification in a related field or obtained within 12 months of the date of hire
Demonstrated ability to work independently and along with others
Attention to detail, timetables, and commitment to completing tasks
Experience with Microsoft Windows and computer savvy
Must be well organized, efficient, and able to prioritize competing priorities and make sound judgments
Ability to define, and resolve problems and challenges in a workplace setting
Responsible for having reliable High-Speed Cable or Fiber Optic Internet service
Must have Excellent People Skills, and Communication Skills via Phone, E-Mail, Text, Written, and Verbal formats, and provide 24-hour follow-up to all communication
U.S. Citizenship
Prior to hiring and training must be able to pass a preliminary credit and background check
Ability to obtain and maintain a government security clearance at the public trust level
In addition to a competitive salary, comprehensive health and welfare benefits, and incentive compensation, MCA offers participation and vesting in a 401(k) plan with a company match. If you would like to contribute to our important mission and work collegially in a professional organization that values intelligence, integrity, and initiative, consider a career with MCA.
Managed Care Advisors, Inc. (MCA), a fully owned subsidiary of Sedgwick, is a Bethesda, Maryland-based government contracting firm and leading provider of workers' compensation and specialty health plan products and services to the U.S. federal government and private
industry customers nationwide and across all US Territories. We believe in helping those with work-sustained illnesses and injuries to live their best life by, providing case management and support to workers, providers, employers, and claims staff.
To be considered for this position, please click "Apply", submit a resume, and complete the application.
The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.
Important Information:
Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.
MCA strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact MCA regarding accommodations.
MCA is an Equal Opportunity and Affirmative Action Employer
All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person's relatives, friends or associates.
MCA abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.
MCA abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.
About Sedgwick:
Managed Care Advisors is a wholly owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to the client's specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line.