Manager Case Management

Providing quality service and accurate results supports Ascential Care Partners primary mission as a trusted adviser to our clients. As a Manager of Case Management services you will be working in a fast-growing company and work environment. This role focuses on ensuring quality care delivery tracking team performance and supporting operational aspects of managing complex cases particularly those involving work-related injuries. As a leader on our team you will continue to reinforce Ascentials mission of being a market leader and collaborative partner to current and prospective customers and partners.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Job Description: The ManagerCM Services is responsible for overseeing and managing a team of case managers and CM Vendor Partners in a field or telephonic role. This role demands a dynamic combination of clinical expertise leadership capabilities and field-based experience to oversee the efficient management of complex medical cases while enhancing the teams operational flexibility and responsiveness. Key areas include:

Leadership and Collaboration

Supervision and Leadership: Oversee and mentor CMs promote quality expectations of continuous improvement and adherence to Best Practice performance.

Case Management Oversight: Ensure case managers assess plan coordinate implement and evaluate care plans for injured or disabled individuals effectively.

Stakeholder Collaboration: Collaborate with network CM partners insurance carriers healthcare providers employers attorneys and injured workers to develop and execute personalized recovery plans.

Quality and Improvement

Network Oversight: Oversee and ensure the quality of vendor partners provide improvement feedback and manage billing/report production

Issue Escalation: Serve as an escalation point for complex issues addressing challenges promptly and efficiently.

Service Delivery: Support the operations of the case management team to guarantee timely and high-quality service delivery.

Training and Quality: Train CMs and Vendor Partners in process client instructions and monitor key performance indicators (KPIs) to ensure CMs and Vendor Partners meet client/service standards and goals.

Reporting and Communication: Facilitate communication of results and progress back to stakeholders such as employers and insurance carriers.

Other duties as assigned

Required Skills & Experience

Clinical Expertise: A robust clinical background as a Registered Nurse or CCM with solid experience in case management and operations management

Leadership Experience: Proven ability to lead and mentor teams effectively.

Interpersonal Skills: Strong communication and collaboration skills for working with a diverse group of stakeholders.

Problem-Solving: Skilled in identifying needs addressing problems and advocating for patient care.

Field-Based Experience: Experience managing case managers who provide telephonic and/or field-based services.

Work Environment:

Home-Based: Candidate will work primarily from home though some travel may be required to meet with clients leadership team conferences and/or CM vendor partners

Required Qualifications:

Degree (associate bachelors masters) in Nursing Case Management Social Work or another related field

Certification in the case management field i.e. CCM (Preferred) or A-CCC CDMS CMAC CMC CRC CRRN and COHN

If a nurse candidate must hold a current active and unrestricted RN license in at least their home state

Bi-lingual a plus

Required Skills:

Able to think critically and strategically to accomplish case goals

Excellent interpersonal skills and customer service focused

Assertive and proactive in approach and communications

Maintains confidence and tact in difficult discussions and collaborations to achieve positive outcomes

Possesses strong leadership organizational prioritization and delegation skills

Demonstrates technical proficiency in Microsoft Office products and ability to learn new software

Ability to maintain accurate records prepare reports correct English usage and maintain confidentiality

Ability to construct grammatically correct reports using standard medical terminology

Ability to use a computer keyboard and mouse up to 8 or more hours per day

Work Requirements:

Able to work minimum core business hours (Mon-Fri 8:00a-5p EST and as required for business need)

Must have dedicated home office space that ensures privacy with access to reliable high-speed internet

Must maintain a valid drivers license with good driving history

Anticipated travel < 10%

Physical Demands:

The position requires mobility and occasional driving. While performing the duties of this position the employee is required to walk stand bend kneel stoop communicate reach and manipulate objects. Duties involve moving materials weighing up to 10 pounds on an occasional basis such as files books office equipment etc. and may infrequently require moving materials weighing up to 30 pounds. Manual dexterity and coordination are required while operating equipment such as computer keyboard calculator and standard office equipment.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.

Candidates should be comfortable with an on-site presence to support collaboration team leadership and cross-functional partnership.

Why Join Us:

At Acrisure were building more than a business were building a community where people can grow thrive and make an impact. Our benefits are designed to support every dimension of your life from your health and finances to your family and future.

Making a lasting impact on the communities it serves Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Childrens Hospital in Grand Rapids Michigan UPMC Childrens Hospital in Pittsburgh Pennsylvania and Blythedale Childrens Hospital in Valhalla New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks including:

• Physical Wellness: Comprehensive medical insurance dental insurance and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

• and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race color religion sex national origin disability or protected veteran status. Applicants may request reasonable accommodation by contacting .

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome your new opportunity awaits you.