Workers Compensation Coordinator Case Management

Job Description

This full-time opportunity, working in a results-driven, fast-paced setting, offers challenge, momentum and purpose! Partial work-from-home option available after successful completion of the orientation period and demonstration of time management and skills proficiency. Great benefits!

Required

Associate's Degree in Healthcare, Nursing or related medical field demonstrating knowledge and execution of injury/illness prevention, education, and rehabilitation (Required). Types of licensures ideal for the position with knowledge and execution of injury/illness prevention, education, and rehabilitation include but not limited to:

RN, LPN, OT, OTA, PT, PTA, etc.

• Must demonstrate proficiency with standard office software, including word processing, spreadsheets, email, and web browsers. Must be able to learn new digital tools and systems quickly and apply them effectively in daily tasks.
  
  

This position provides comprehensive case management for the team members of TriHealth in the specialty area of Workers' Compensation. This position assumes the roles included but not limited to coordinator, facilitator, educator, administrator, researcher, investigator, and consultant. The primary focus of this position is to control/minimize the cost of Workers' Compensation claims while promoting optimal recovery and minimal lost work time for TriHealth team members. This is accomplished through the coordination of referrals, treatment interventions, return to work, etc. with the parties involved in the Workers' Compensation claim. Skills/abilities to be successful in the position include excellent customer service, strong written/verbal communication, high computer literacy, organized with attention to detail, positive attitude, self-directed critical thinking, ability to work autonomously but also in a team atmosphere, can prioritize tasks and meet deadlines, high learning aptitude, and innate leadership that aligns with the mission and values of the organization. Additionally, the position requires working knowledge of medical terminology, body systems, and impairments and their disabling effects.

Job Requirements

Associate's Degree in Healthcare, Nursing or related medical field demonstrating knowledge and execution of injury/illness prevention, education, and rehabilitation. (Required)

1 - 2 years of experience in Clinical, Nursing or related medical field demonstrating knowledge and execution of injury/illness prevention, education, and rehabilitation. (Required)

Computer literate (see above*).

Healthcare case management of occupational injuries, including return-to-work coordination knowledge needed.

Job Responsibilities

Collaborate with managers, team members, Workers' Compensation third-party partner to coordinate Modified Duty/Return to Work Program. Facilitate placements that meet team members' restrictions, monitor progress, and coordinate care to promote team members achieving optimum recovery from injuries/illnesses.

Regularly communicate with the Workers' Compensation third-party partner to monitor claims management including but not limited to the timely payment of bills/compensation, claim certification/denials, treatment requests, etc. Collaborate with appropriate provider contacts to facilitate timely exchange of documentation, referrals, workability status updates, etc.

Collect, document, and evaluate information regarding team member incidents/illnesses to determine individual needs. Plan and implement action to achieve optimum recovery and safe/timely return to work. Maintain communication with involved parties including but not limited to team members, managers, providers, Human Resources, etc.

Identify/track injury/illness trends/costs and provide meaningful information/reports to Occupational, Environmental, Safety, and Risk departments. Collaborate with various stakeholders to analyze and implement safety and injury illness prevention/education initiatives.

Adhere to all Workers' Compensation governing entities and employers' parameters, guidelines, policies, protocols, laws, etc. Follow OSHA recordkeeping guidelines and execute reporting of this information in a timely manner. Ensure compliance with Bureau of Workers' Compensation requirements for self-insured status.

Ensure compliance with HIPAA privacy requirements regarding the transfer of personal health information.

Other Related Information

Cross train with Leave of Absence Disability Case Managers. Special projects as assigned.

Working Conditions

Climbing - Rarely

Concentrating - Consistently

Continuous Learning - Consistently

Hearing: Conversation - Consistently

Hearing: Other Sounds - Consistently

Interpersonal Communication - Consistently

Kneeling - Rarely

Lifting <10 Lbs. - Frequently

Lifting 50 Lbs. - Rarely

Lifting <50 Lbs. - Occasionally

Pulling - Rarely

Pushing - Rarely

Reaching - Occasionally

Reading - Consistently

Sitting - Consistently

Standing - Occasionally

Stooping - Rarely

Talking - Consistently

Thinking/Reasoning - Consistently

Use of Hands - Consistently

Color Vision - Consistently

Visual Acuity: Far - Occasionally

Visual Acuity: Near - Consistently

Walking - Occasionally

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following

Serve: ALWAYS...

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
  
  

Excel: ALWAYS...

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
  
  

Respect: ALWAYS...

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
  
  

Value: ALWAYS...

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
  
  

Engage: ALWAYS...

• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community
  
  

About Us

Careers at TriHealth are diverse. From clinical to administrative, sales to service, our team members contribute skills that are as varied as the services we offer and the people we serve. As an employer, TriHealth demonstrates the organization's values by offering comprehensive benefits packages, competitive wages, and milestone recognition.

Explore our career options to help you determine the type of job best for you as well as help narrow your search within our website. We look forward to you joining the TriHealth family!