WORKERS COMPENSATION MANAGER
JBS USA
**Description**
WORKERS COMP MANAGER
Occupational Health Souderton, PA
Principle Responsibilities:
+ Provide informationand act as the Company liaison to explain benefits providedthrough Workers’ Compensation.
+ Maintain close working relationships with plant Health Services, Safety, HumanResources, Operations, and Corporate Risk Management.
+ Develop individual medical case management plans for injured employees in conjunction with panel providers.
+ Proactively communicate via phone or fax to treating physician prior to scheduled appointments any pertinent information that may impact the treatment plan.
+ Coordinate appointments with panel providers. Ensure provider has required documentation, medical reports, diagnostic test results, and/or job description prior to the scheduled examination.
+ Coordinate the exchange of information among the Health Services staff, the HR staff and the TPA to avoid errors and/or delays in claims submission/payment.
+ Actively monitor employees’ care and progress and interact with appropriate panel providers/treating physicians to ensure understanding of the treatment plan.
+ Lead weekly claim reviews of all open cases with a focus on return to work and claim closure/resolution.
+ Communicate loss experience and data analysis to Health Services, Safety, and Risk Management to report weekly.
+ Assist with continuous quality improvement of Workers’ Compensation claims submission policies, procedures, processes, and programs.
+ Consult with corporate risk management on settlement and reserve valuations.
+ Make appropriate recommendations on return to work, settlement or other case closure opportunities.
+ Initiate permanent placement process once permanent restrictions are assigned
+ Assist with developing and distributing claim management and financial reports (ad hoc, monthly, quarterly, and annual).
+ Maintain accurate workers’ compensation records and reports to comply with federal and state record-keeping requirements.
+ Utilize standardized disability guidelines and resources to guide return-to-work timelines and communicate with treating physicians in seeking clarification if the injured employee falls outside anticipated durations.
+ Establish and maintain professional relationships with employees from all levels of the business as well as with doctors,medical professionals in the community, and company attorneys.
+ Schedule, facilitate, and attend specialist appointments when necessary.
+ Document all information promptly in the EMR system and maintain a diary.
+ Help cover department vacancies when needed, possibilities of weekend coverage, and perform any other duties as assigned
Education: RN or a minimum of five (5) years of experience in occupational health. Commission of Case Management Certification (CCMC-CCM) or American Board of Occupational Health Nursing (ABOHN-CM) Certification, or Occupational Health Nurse (COHN or COHN-S) preferred.
Special Skills:
+ Analytical and mathematical skills required
+ Computer proficient
+ Ability to use MS Office and web-based programs that manage workers’ compensation
+ Knowledge ofstatesworker’scompensationlaws
Benefits:
+ Medical, Dental, Vision, 401K
+ Vacation, sick leave, and six company-observed holidays
+ Better Future Program-2-year MONTCO Community College tuition paid for employees and dependents
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EOE/VETS/DISABILITY
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