Job Description

Our client is seeking a Clinical Operations Manager to join their growing team!

Direct Hire

Salary: $72K-$114K

Position: Clinical Operations Manager

Location: Hybrid in Jersey City, NJ (3 days onsite)

Job Description:

The ideal candidate will have experience managing a team of Registered Nurses (RNs) who handle case management for STD/FMLA and accommodations. We are looking for top-notch candidates with advanced degrees or extensive experience in the field.

Responsibilities:

• Lead a team of clinicians managing medical disability and accommodation cases.
• Utilize MD Guidelines to facilitate medically sound decisions and ensure effective administration of absence and disability claims.
• Consult on medical, behavioral health, and accommodation claims within the scope of licensure and clinical expertise.
• Advocate for employee-clients, helping them make informed choices in alignment with Medical Disability Guidelines (MDG) and employer-based benefit plans.
• Act as a liaison between all parties involved in case management to ensure continuous communication and consensus.
• Coordinate with the client’s Employee Assistance Program (EAP) to promote referrals to top behavioral health providers.
• Provide documentation, feedback, and reports to diverse occupational populations, emphasizing the return of medically able individuals to productive work.
• Manage consult caseload efficiently, prioritize tasks, provide timely interventions, and maintain confidentiality.
• Support the team in driving the return-to-work process from case initiation to closure.

Requirements:

• Minimum of 5 years of medical advisory experience in occupational health, disability, health case management, or utilization review.
• Minimum of 2 years as a Clinical Case Manager.
• Registered Nurse, Nurse Practitioner, or comparable license with experience in disability/absence management and case management.
• Evidence of appropriate degree and licensure.
• Commitment to high-quality customer service, diplomacy, patient advocacy, and professional competency.
• Availability for occasional escalations outside of normal business hours (up to 8-10 times per year).

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