WORKERS COMPENSATION COORDINATOR_Hybrid

TriHealth

United States, Ohio, Cincinnati

375 Dixmyth Ave (Show on map)

Nov 06, 2024

Job Overview:

This position provides medical case management for assigned populations - i.e. employees of TriHealth in the speciality area of Workers' Compensation. This position may assume the roles of education, adminstrator, researcher, investigator and constultant. 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 of the injured employee. Also provides effective counseling of patients and recommendations for appropriate referrals and/or treatment alternatives as well as coordinates and monitors return to work consistent with physician recommendations through communication with patient's physicians and employee manager. Acts as a clinical role model for staff, demonstrating leadership qualities in all aspects of medical care and education.

Job Requirements:

Associate's Degree in Healthcare

Licensed in health care field

Computer literate

1-2 years experience Clinical health care field

Up to 1 year experience

Healthcare case management of occupational injuries, including Return to Work coordination

Job Responsibilities:

Collaborates with managers and employees to coordinate Modified Duty Program - facilitatesplacement into positions that meet employee restrictions. Monitors progress.

Communicates with TPA and monitor claims management - timely payment of fee bills and compensation. Ensures compliance with BWC requirements for self insured employers. Collaborate sand communicate with TPA to certify or deny claims, C9's, etc.

Promotes outpatient lactation through communicating information to patients about available services and products. Assesses patients for pumping needs and encourages patient to make a decision before end of business day to prevent patient disappointment due to pump rental not being available in later evening hours. Promotes breastfeeding support group.

Tracks injury trends and costs and provide meaningful information/reports to Occupational/Environmental/Safety and Risk departments. Cooperates with implementation of Safety Initiatives.

Maintains OSHA log following record keeping guidelines.

Complies with HIPAA privacy requirements regarding the transfer of personal health information in any form as it pertains.

Other Job-Related Information:

Cross train with Leave of Absence Disability Case Managers

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 11-50 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

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