Telephonic Case Manager chez Acrisure

Job Title: Supervisor – Telephonic Case Management

Ascential Care Partners

Reports to TCM Manager

Summary:

Providing quality service and accurate results supports our primary mission as a trusted adviser to our clients. As Supervisor – Telephonic Case Management you will be working in a growing and challenging work environment. Your valuable role as a Working Supervisor will include oversight of a Case Management and Clinical Services team by monitoring referral processing, service levels and quality to ensure cases are managed and closed in accordance with Best Practice and Client expectations. Additional responsibilities will be to coach, mentor and develop the nurses providing clinical services and assisting your manager as required. As a member of the Ascential leadership team, you will continue to reinforce Ascential’s mission of being a market leader and collaborative partner to ACP’s current and prospective Customers. 

Job Description:

• Manage a reduced case management board
• Ensure appropriate assigning, prioritizing, performance and documentation of nursing activities for your assigned team members
• Monitor task due dates using management reports to ensure proper handling and appropriate resolution
• Routinely meet with staff as appropriate to facilitate communication, training, and team building
• Perform Quality Assurance audits through the reviewing of cases on a regular basis 
• Ensure staff are properly trained, through the provision of technical and clinical guidance
• Establish and facilitate cooperative relationships with all parties, i.e., accounts, employers, physicians, preferred vendors, and staff
• Ensure that account guidelines are followed and respond to customer inquiries, when indicated
• Assist the manager with timely performance evaluation to team members
• Assist the manager with onboarding, and ongoing training of team members, team meetings, and oversight activities when assigned
• Other duties as assigned

Qualifications:

• Current, active, and unrestricted Nursing licensure or certification in a state or territory of the United States that allows the professional to conduct an assessment independently as permitted within the scope of practice of the discipline
• CCM or similar certification, or candidate is willing to obtain within 1 year of serving in this role

Job Requirements:

• Experience working in the Workers’ Compensation industry with a strong understanding of case management purpose and process
• Previous experience in a supervisory or management role
• Experience collaborating with corporate leadership, customers, prospective customers
• Able to effectively communicate, lead, and motivate within a remote or hybrid work environment
• MS proficiency: Word, Excel, PowerPoint & Outlook
• Prior experience with Datacare’s case management system or similar system preferred

• Must be proactive and able to prioritize multiple tasks to meet established deadlines
• Must be able to work in a fast-paced service environment, work well under pressure and can adapt to a constantly changing environment
• Must possess organizational and planning skills, excellent verbal and written communication skills, and excellent interpersonal relationship skills
• Understanding the insurance/TPA industry and marketplace
• Training, mentoring, and coaching ability
• History of excellent Attendance and Performance

Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status.  California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure.com/privacy/caapplicant.
 

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