WORKERS COMP MANAGER

Occupational Health Souderton, PA

Principle Responsibilities:  

• Provide information and act as the Company liaison to explain benefits provided through Workers’ Compensation. 
• Maintain close working relationships with plant Health Services, Safety, Human Resources, 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 of states worker’s compensation laws

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