Manager RN Telephonic Triage Case Management Services Remote (2025-1396)
Company: Managed Care Advisors
Location: Charleston
Posted on: February 1, 2025
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Job Description:
Position Title: Manager RN Telephonic Triage Case Management
Services Remote (2025-1396) Location: Charleston, SC, USA Job
Category: Medical Case Management Job Type: Full Time Description:
Overview Manager RN Telephonic Triage Nurse Case Management -
Remote Nationwide Salary Range: ($90k - $100k) depending on
experience and qualifications. Are you eager to provide leadership,
support, and oversight to a team? Do you have a commitment to
helping individuals with severe and persistent workers'
compensation illnesses? Sedgwick Government Solutions is an
innovative organization looking for a skilled professional to
manage a team of RN Telephonic Nurse Case Managers. As a Manager of
RN Telephonic Triage Nurse Case Management, you will work in your
home office setting while still being part of a supportive team
nationwide to oversee the TN unit within the NVRS Program,
collaborate with the VP of Clinical Operations, and ensure
excellence in service delivery and compliance. Lead a team of
skilled Telephonic Nurse Case Managers and make a significant
impact on patient care. Manager RN Telephonic Triage Nurse Case
Management Duties and Responsibilities Oversees all aspects of
operations of the TN Department, including staffing, policies and
procedures, regulatory and contract compliance, evaluation of
outcomes, and applicable revisions to services.Works with VP
Clinical Operations, NVRS in establishing and revising the
structure and budget of the TN Department to most efficiently meet
the goals of TN services.Ensures processes are in place to support
Report requirements and collaborates with other business units to
ensure IT systems and data analytics capture contract deliverables
and timeliness.Develop and oversee procedures for case assignment
to TNs, as determined by volume of work, structure of Unit, and
availability of qualified staff.Recruit, hire, and evaluate TN
staff.Establish and enhance policies, protocols, work instructions,
job aids to achieve optimum successful outcomes from TN
services.Guide case managers in the application of policies and
procedures to daily operations.Motivate and manage staff to ensure
performance standards are not met or exceeded.Serve as a member of
NVRS and/or SGS committees, as designated by the VP, of Clinical
Operations.Assist VP Clinical Operations and NVRS management team
in administrative functions as requested.Provide timely direct
feedback to staff through scheduled guidance/coaching sessions and
midyear/annual evaluations. This includes active coaching and
engaging employees to enhance their performance and commitment.
Assist employee to develop skills needed to achieve optimal
performance and strong performance in their role.Actively resolve
employee conflict by utilizing improvement efforts,
multi-disciplinary strategies, problem-solving skills, and conflict
management.Make timely decisions based on the evaluation of
outcomes and communicate the results effectively so that the
employee understands the reason behind the decision.Effectively
counsel and coach employees on performance and behavioral
improvements. Understand and appropriately apply employee
disciplinary procedures with appropriate documentation. Coordinate
terminations with CR.Possess professional maturity to handle
confidential and delicate team and client issuesIs an effective
leader and team member; supports the team by pitching in at any
level and effectively working across the organization to manage the
needs of the businessAble to work well in a team environment and
manage workload, prioritize work for team and self, and meet
assigned team deadlinesUse verbal, written, and active listening
skills. Communicate effectively and clearly in a professional,
productive, non-aggressive manner with the team, co-workers, and
clients.Effectively and clearly communicate articulate expectations
through timely documentation submission and weekly team meeting
discussionsProvide training and other educational services for case
managers, other team members, and clients, as directed by the SGS
Training Department.Foster equality and diversity in problem
identification and conflict resolution among both staff and
clients.Assume responsibility for related duties as required or
assigned. Manager RN Telephonic Triage Nurse Case
ManagemenQualificationsBachelor of Science in Nursing
required.Master's in nursing, health care, or business
administration (or related field) preferredNational certification
in case management or a related field is required in one of the
following areas: Occupational Health (COHN); Case Management (CCM),
Insurance Rehabilitation (CIRS/CRRN), Disability Management (CDMS),
and/or Nurse Case Manager Board Certified (ANCC/ANA).Possess an
active, unrestricted nursing license valid in the United States,
Puerto Rico, or other U.S. territories; a Compact License is
preferred.10 years related clinical experience, including- a
minimum of two (2) years of adult medical/surgical nursing
experience AND a minimum of two (2) years of case management
experience in the workers' compensation arena OR, have a minimum of
one (1) year of adult medical/surgical nursing experience and three
(3) years of case management experience in the workers'
compensation arena.Minimum 3 years of telephonic case management or
triage experienceMinimum 3 years of management experienceMinimum 2
years of work experience in Customer SupportExperience with the
Federal Employee Compensation Act (FECA) and FECA-related issues
preferred.Must write succinctly and clearly and explain complex
situations in plain English to technical and non-technical
audiences.Strong team player; ability to partner with internal
clients and other cross-functional departmentsAbility to
comprehend, analyze, and interpret documents. Ability to solve
problems involving several options in situations.Responsible for
setting project deadlines.Proficiency in Microsoft OfficeAbility to
travel 20%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 ($90,000 - $100,000). 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 InformationSuccessful
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 EmployerAll 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). 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). 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 SedgwickSedgwick
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 over 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 Privacy - Sedgwick Terms and
Conditions - SedgwickPI270f2d65ec1c-25660-36623956
Keywords: Managed Care Advisors, Charleston , Manager RN Telephonic Triage Case Management Services Remote (2025-1396), Executive , Charleston, South Carolina
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