Souderton, PA, 18964, USA
23 days ago
WORKERS COMPENSATION MANAGER
**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 Be Extraordinary. Join Us Today! EOE/VETS/DISABILITY
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