medical case management plans for injured employees. 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 Lead monthly 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 on a weekly basis 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 the development and distribution of 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 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.
Attend doctor appointments when necessary Help cover department vacancies when needed, possibilities of weekend coverage, perform any other
duties as assigned QUALIFICATIONS: Education: RN, LPN, or Vocational Rehabilitation or related field or a minimum of five (5) years of experience in case/claims management.
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. Experience: Minimum two (2) years of experience in managing Workers Compensation claims Special Skills: Analytical and mathematical skills required Computer proficient; Ability to use MS Office and web based programs that manage workers compensation Basic knowledge of Minnesota workers compensation laws and regulations Basic knowledge of occupational health Bilingual in Spanish and English preferred but not mandatory We are an equal opportunity employer.
EOE/M/F/Vet/Disabled
