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Manager of Medical Case Management

VRS Disability Management
Manchester, NH
$93,000 - $98,000 a year - Full-time

Location

Manchester, NH

Benefits
Pulled from the full job description

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible schedule
  • Health insurance
  • Life insurance

Full job description

Position Overview: A Manager of Medical Case Management is a professional who has an expert understanding of the provision of medical case management services and an ability to use that expertise to train, develop, mentor, and empower both new and experienced case managers to perform successfully in their roles.

The Manager is the bridge that connects VRS and the case manager.

The Manager is responsible for upholding VRS’ culture of respect and inclusivity and perpetuating this culture amongst his/her team of case managers.

The Manager is responsible for imparting VRS’ best practices in case management to his/her team of case managers, ensuring that they perform their duties with a sense of urgency, attention to detail, and accountability which are the hallmarks of VRS’ quality case management service.

Workplace Environment: Home based office setting with occasional local/regional travel to attend off-site meetings, conferences, and customer events.

Main Tasks and Responsibilities:

The Manager of Medical Case Management will competently and enthusiastically perform the following duties:

· Ensure that each case manager has the tools and support necessary to perform his/her job proficiently.

· Develop positive working relationships with his/her case managers to empower them to provide the highest quality of case management services to their clients.

· Assess and determine hiring needs for the team. Assist in hiring and training of new case managers.

· Educate and guide case managers regarding jurisdiction, claims issues, and the workers compensation process as they relate to case management.

· Provide direction to case managers regarding specific customer requirements and guidelines, ensuring case managers’ understanding and ability to consistently meet them.

· Foster and maintain consistent communication with both the case management team and the management team, as well as other VRS colleagues, to promote efficiency and problem-solving. This includes conducting regular staff meetings both virtually and in-person.

· Respond to and assign medical management referrals promptly, considering caseloads, territory, and referral needs.

· Ensure that diary dates are met and that each case manager on the team is consistently and regularly entering activities and billing into Case Anyplace (CAP).

· Ensure productivity goals are met by each case managers on his/her team. Assess referral needs and communicate needs to sales when necessary.

· Perform quality reviews of individual case manager reports and billing to ensure VRS’s best practices and customer guidelines are met. Ensures that all written material submitted by a case manager reflects the quality of services, with well substantiated billing, that represent the excellence required by VRS.

· Perform file reviews and staff cases with individual case managers to ensure appropriate activities are coordinated and performed to promote the injured worker’s recovery and successful return to work.

· Conduct annual performance reviews for each member of the team. Reviews are based upon some objective data, but also Manager tracking of quality of reports; compliments; complaints; and assessment of employee engagement with colleagues, customers, injured workers, etc.

· Provide ongoing feedback to case managers on their performance throughout the review period/year. May need to engage in coaching/counseling, as well as performance plan management.

· Obtain/have a general understanding of VRS departments and lines of business to be able to direct both internal staff and external customers to appropriate resources.

· Identify special projects or opportunities for improvement that would benefit the team, department, or VRS and, with the Director and/or VP of Operations, develop a process to complete/implement them.

· Manage operations in the absence of the Director and/or VP of Operations.

· Assume the responsibilities of a Manager in another territory as the need arises.

· Respectfully and promptly respond to the questions and needs of other colleagues within VRS.

· Interact with customers and collaborate with the sales team to address concerns and resolve issues, providing a high level of customer service.

· Participates in meetings with leadership, IT, HR and sales as needed. May be called upon to assist with or make external presentations.

Skills & Qualifications

· Minimum 4 years as a full-time case manager.

· Registered Nurse, CRC, or CDMS required.

· Demonstrates ability to organize a workload/schedule and multitask meet the needs of the case management and management teams.

· Demonstrates and fosters VRS’ culture of respect for others.

· Demonstrates understanding of the value and partnership between marketing and delivery of services; and a desire to positively impact the overall success and productivity of VRS.

· Ability to mentor others to promote their professional development.

· Acts as a positive role model for case managers.

· Both verbal and written communication skills are required. Must be able to communicate clearly and accurately. For example, must provide clear instructions and announcements to staff; effectively deliver positive or negative feedback when warranted.

· Ability to accept feedback and instruction and implement change when needed.

· Demonstrates critical thinking and problem-solving to resolve employee, team, or customer issues.

Personal Attributes

· Honest and trustworthy

· Flexible

· Respectful

· Accountable

· Team player

· Desire to learn and grow

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as needed to meet the ongoing needs of VRS Disability Management.

Job Type: Full-time

Pay: $93,000.00 - $98,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Mileage reimbursement
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Experience:

  • Case management: 4 years (Required)

License/Certification:

  • RN, CRC or CDMS (Required)

Work Location: On the road