Job Details

　　Medical Case Manager Specialty Services Director (remote) - strong internal 2024 - 1325

　　Cheyenne, WY, USA

　　Medical Case Management

　　Full Time

　　Description

　　Overview

　　Would you like to work as part of a collaborative dynamic multi-disciplinary case management team of subject matter experts? Would you like a career that gives you opportunities to manage multiple teams of case managers to improve the quality of life of patients and their families?

　　Responsibilities

　　Oversee all aspects of operations of MCM Specialty Services including staffing, policies and procedures, regulatory and contract compliance, evaluation of outcomes, and applicable revisions to services.

　　Work with CM SVP in establishing and revising the structure and budget of Specialty Services to most efficiently meet the goals of MCM Specialty Services Unit.

　　Work with CM SVP in the implementation of contract requirements with ongoing evaluation of compliance and enhancements.

　　Work with CM SVP in assuring compliance with requirements for licensing, certification, security, and government regulations.

　　Supervise and mentor MCM managers/supervisors in duties as outlined in position job descriptions

　　Recruit, hire, train, and evaluate MCM Supervisors, Managers and Case Managers

　　Establish and enhance policies, protocols, work instructions, job aids to achieve optimum successful outcomes from the Specialty Unit.

　　Provide MCM intervention for cases requiring specialized knowledge and/or skill, which may include cases that are high profile, congressional, potential media events, highly litigated, fraudulent, and/or long-term disability.

　　Provide supplemental support and assistance to Case Managers during staff transition and/or spikes in assigned caseloads.

　　Qualifications

　　Unrestricted State Registered Nursing License

　　10 years in nursing management with budget and contract compliance responsibilities and management of supervisory staff and multiple nursing service delivery teams

　　5 years experience in Nursing, with at least 5 years in workers' compensation, case management, or disability management.

　　5 years of management experience

　　2 years of work experience in Customer Support

　　United States Citizenship

　　Federal security clearance required

　　Bachelor's degree and 2 years of experience with progressively increasing responsibility in related field; or a Master's degree; or Associates Nurse Degree with 6 years related health care management experience with progressively increasing responsibility.

　　For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others

　　Sedgwick Government Solutions 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 a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (range). 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.

　　To be considered for this position, please 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.

　　Search Firm Representatives

　　Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions.

　　Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation to complete the application process, please contact Government Solutions regarding accommodations.

　　Sedgwick Government Solutions 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.

　　Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a) (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf) . 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.

　　Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a) (http://www1.eeoc.gov/employers/upload/eeoc_gina_supplement.pdf) . 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

　　Sedgwick Government Solutions is a fully 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 clients’ 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. www.sedgwick.com