Demo

Clinical Operations Manager

The Judge Group
Jersey, NJ Full Time
POSTED ON 3/2/2025
AVAILABLE BEFORE 3/27/2025

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).

Salary : $72,000 - $114,000

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