Case Management Supervisor

Personal, compassionate service is what we're known for at NJM. We seek the best and brightest to help our customers when they need us most. As part of the NJM team, you'll not only enjoy some of the best benefits in the industry, you'll also be joining a company that's committed to professional development, diversity and innovative thinking.

West Trenton, New Jersey

NJM Insurance Group

<p><strong>Come Grow with Us!</strong></p> <p>&nbsp;</p> <p>For more than a century, our policyholders have trusted us to serve them in their times of need. For just as long, we have supported our employees by providing a competitive compensation package and opportunities for growth. If you are looking to be part of something special and make a difference each day, we invite you to come grow with us. There's never been a better time to join the NJM family.&nbsp;</p> <h3>This isn't just insurance.&nbsp;&nbsp;<strong>It's NJM</strong><strong>.<br /><br /><br /></strong>If you don't see the job you're looking for below, please click <a href=";cws=47" target="_blank" rel="noopener noreferrer">here</a> to create a search agent, or log in to check the status of your previous application.&nbsp;</h3> <h3><em><strong>&nbsp;</strong></em></h3>

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Full Time

Overview: <p>The Case&nbsp;Management Supervisor is responsible and accountable for overseeing the investigation and medical management of claims assigned to their respective team.&nbsp; The position requires the Case&nbsp;Management Supervisor to support Workers&rsquo; Compensation in the area of Nurse Case Management.</p> <p>The Supervisor leads and manages effective and efficient processes that are focused on maximizing the department&rsquo;s overall productivity and supporting WC claims, ensuring that quality, evidence-based, and cost-effective medical care is provided to injured claimants and reimbursed at the appropriate rates.&nbsp; The official NJM job title is&nbsp;Supervisor, MUD Medical Management.</p>
Responsibilities: <ul> <li>Monitors workloads, productivity and quality to maximize operational effectiveness and to ensure effective and efficient medical management, as well as appropriate and timely claims handling.</li> <li>Utilizes reports to track and trend data, improve team efficiency, identify problem areas and make recommendations and adjustments as needed.</li> <li>Reviews nursing staff work product for accuracy, thoroughness and conformity with applicable State Regulations and NJM&rsquo;s policies and practices.&nbsp; Instruct and counsel team members on new regulations, as well as new and altered processes, procedures and responsibilities. Possess a thorough working knowledge of PIP/WC systems, applications and processes.</li> <li>Holds staff accountable for producing quality work.&nbsp; Certify that staff is adequately trained and has the proper skill sets and knowledge to produce quality work.&nbsp; Clearly communicate expectations and help employees understand the organizational objectives and standards. Change management leadership, communicate, collaborate and commit.</li> <li>Provides leadership to assigned staff including regular coaching and feedback, development and proactive performance management.&nbsp; Document ongoing employee performance and conduct annual employee performance evaluations.&nbsp;&nbsp;</li> <li>Actively participate in various departmental projects including executing on assigned deliverables, assisting in the determination of resources, managing milestones, and communicating statuses of assigned projects to MSA MUD Management and impacted staff.</li> <li>Assists Department Administrator in the following areas:&nbsp; workforce planning, staffing plans, job design, development plans, coaching and development, performance management and employee relations.&nbsp; Interview and hire the right candidates to appropriately fill departmental roles, and complete new hire set-up.</li> </ul>
Requirements: <p><strong>Required Skills &amp; Experience:</strong></p> <ul> <li>Registered Nurse</li> <li>BSN preferred but not required</li> <li>Certification in Case Management preferred</li> <li>Minimum of 2 years of Case Management experience</li> <li>Knowledge of Workers&rsquo; Compensation, Auto Medical, and Medicare preferred</li> <li>Knowledge of professional nursing principles, clinical practice guidelines and appropriate clinical interventions.</li> <li>Strong grasp appropriate level of health care, treatment modalities, evidence-based guidelines (MCG and ODG preferred), and health care delivery systems.</li> <li>Forward-thinking and considers long-term and broader implications of decisions</li> <li>Commitment to the customer</li> <li>Strong organizational and task prioritization skills.&nbsp;</li> <li>Detail-oriented, strong decision-making and analytical skills</li> <li>Results-oriented and executes on deliverables</li> <li>Displays initiative, motivates staff and fosters teamwork&nbsp;</li> <li>Views new challenges as opportunities for improvement and embraces change enthusiastically&nbsp;&nbsp;</li> <li>Focused on eliminating unnecessary activities or processes to improve efficiency</li> <li>Presentation skills</li> <li>Strong verbal and written communication skills. Ability to display professionalism by having a positive demeanor, proper telephone/email etiquette and using proper language and tone</li> <li>Maintains healthy working relationships, good listener and appreciates diversity.&nbsp; Ability to develop a rapport with internal and external partners.&nbsp; Compassionate and empathetic.&nbsp; Demonstrated ability to influence others to gain buy-in.&nbsp; &nbsp;</li> <li>Demonstrates personal accountability and practices peer to peer accountability.</li> <li>Ability to problem-solve and resolve complex, multifaceted, and emotionally-charged situations.</li> <li>Ability to navigate technology and multiple systems effortlessly and readily adapt to changes, when needed.</li> <li>Intermediate to advanced Microsoft Office Suite skills (Outlook, Word, Excel, PowerPoint)</li> </ul> <p><br />NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.</p>