The 'apply with seek' option will be utilized for international applicants, mainly australiaIf this does not apply to you please use the 'apply' option.
Clinical team lead sr
If you care, there’s a place for you here
For a career path that is both challenging and rewarding, join sedgwick’s talented team of 27,000 colleagues around the globeSedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutionsTaking care of people is at the heart of everything we doMillions 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 happensWhether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidanceOur clients depend on our talented colleagues to take care of their most valuable assets—their employees, their customers and their propertyAt sedgwick, caring counts®Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.
Primary purpose : to ensure efficient, cost effective, and high quality delivery of case management services to clients for multiple business lines by supervising and training multiple units of colleagues located on-site at client locations, overseeing the management of cases worked by field specialists, and providing expertise in client union involvement and client specific case management requirements; and to ensure customer satisfaction through the provision of these services and through dealing directly with multiple business line claims managers, supervisors and examiners utilizing the account management process.
Essential functions and responsibilities
Plans for staffing needs including succession, bench-strength, and new business. Establishes business plan with goals and objectives for the area and locations/offices. Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements. Supervises, coordinates, and reviews the work of assigned staff for a single business line while on-site at client locations. Makes budget recommendations; manages assigned budget to ensure achievement of unit financial goals. Acts as liaison between telephonic and onsite case management. Participates in account support and management. Provides expertise in client specific case management requirements and in client union involvement. Provides expert medical and product support to staff.
Performs other duties as assigned. Supports the organization's quality program(s). Travels as required.
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.
Certification as a case manager or
Professional certification in a clinical specialty with three (3) years experience as case manager and certification as case manager if directly supervising case management process Bachelor's degree or higher in a health-related field and licensure as a health professional (where such licensure is available) or Solid knowledge of multiple business line medical case management environments Ability to meet or exceed performance competencies Ability to work in a team environment Excellent negotiation skills Excellent interpersonal skills Strong organizational skills Strong analytical and interpretive skills Good leadership/management/motivational skills Pc literate, including microsoft office products Excellent oral and written communication, including presentation skills Knowledge of statutory requirements of state's jurisdiction/erisa regulations Knowledge of resources available regarding the regulations and parameters of third party reimbursement, benefit determinations, and payments
Work environment when applicable and appropriate, consideration will be given to reasonable accommodationsMental: 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 descriptionThey are not intended to constitute a comprehensive list of functions, duties, or local variancesManagement retains the discretion to add or to change the duties of the position at any timeNote : credit security clearance, confirmed via a background credit check, is required for this position.
Experience eight (8) years of related experience or equivalent combination of education and experience required to include three (3) years medical case management, two (2) years clinical and two (2) years supervisory experience.
Sedgwick is an equal opportunity employer and a drug-free workplace.