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Workers Compensation Nurse Case Manager
2 months ago
Calling all passionate Workers Compensation Nurse Case Manager in healthcare Ready for a career that combines cutting-edge healthcare innovation with a work environment that truly supports and values you? Work Health Solutions is the place to be We're not just redefining occupational healthcare; we're setting the gold standard for employee satisfaction. Picture this: competitive pay, top-notch benefits, and the chance to collaborate with major companies across the United States. Join our dynamic team where your skills are the star, and your career growth is unstoppable. Say yes to Work Health Solutions and make a real impact on the well-being of individuals and organizations. Your next big adventure awaits
Position Summary:
As a Workers Compensation Nurse Case Manager, the employee will be responsible for managing and coordinating the care of injured employees throughout the workers' compensation process at designated client site(s). The role will involve ensuring work-related injuries are sent to designated providers to assess injuries and develop care plans, advocating for optimal treatment, and ensuring timely and efficient communication between all stakeholders. This position offers a unique opportunity to make a meaningful impact on the health and well-being of employees while ensuring compliance with regulatory standards. This is a meaningful role that requires a results focused individual who can liaise with our greater operations, EMTs, clinical, and client success teams, to deliver high-quality service to Work Health Solutions’ clients.
Essential Job Duties:
- Provide a "white glove" experience by delivering exceptional customer service onsite. Demonstrate professionalism, empathy, and attentiveness to ensure employees feel supported and cared for.
- Drive continuous quality improvement initiatives by analyzing clinical data, identifying trends, and implementing interventions to enhance patient care processes.
- Collaborate with healthcare providers, employers, and insurance carriers to coordinate medical care and facilitate a smooth recovery process.
- Advocate for injured employees to receive timely and appropriate medical treatment while ensuring compliance with workers' compensation guidelines.
- Educate employees about their rights and responsibilities under workers' compensation laws and provide ongoing support throughout their recovery.
- Maintain accurate and detailed records of all interactions, assessments, and care plans in accordance with regulatory requirements.
- Facilitate clear and timely communication between all parties involved, including regular updates to employers and insurance carriers on the status of cases.
- Prioritize safety and efficiency by meticulously adhering to protocols and procedures.
- Maintain a clean and organized workspace, regularly inspect, and restock equipment, and ensure strict adherence to confidentiality guidelines.
- Strive for excellence in infection control, hygiene practices, and overall safety measures when onsite at designated location(s).
- Provide first aid level care when on-site, track on-site injury and illness data with proprietary software, and maintain compliance with OSHA standards.
- Participate in monthly auditing meetings to discuss open work comp claims, injury trends, and any cases that need additional assistance with Clinical Operations and client teams.
- Communicates with various departments (IT, Supply Chain, Client Success, Solutions) to coordinate services, resolve operational problems, and improve quality of service to exceed client expectations.
- Perform quality controls and monitor production KPIs (Key Performance Indicators)
- Formulate and carry out operational objectives to implement company strategic goals.
- Other duties as assigned.
Education, Skills, and Qualifications:
- Bachelor’s degree in nursing (BSN) required
- Previous experience in an occupational healthcare setting and management of worker’s compensation claims
- Excellent communication skills
- Outstanding organizational skills
- Strong technical working knowledge of EHRs, MS Office/365 (Outlook, Excel, Word, PowerPoint, Visio, Teams, etc.), Project Management Software (Monday.com, Asana), HRIS Software (Paylocity), and Time & Labor Management recordkeeping.
Required Licenses/Certifications:
- Current and active RN license in Tennessee and Mississippi.
- Additional certifications specific to the practice area may be required or preferred.
Schedule:
Monday - Friday 8am - 5pm. Details to be discussed during the interview process
