"Alerted.org

General Summary

Performs a variety of administrative and program oversight duties to support Workers' Compensation case management. Provides internal Workers' Compensation telephonic case management and medical record review. Regularly communicates with the Third-Party Administrator (TPA), supervisors, and employees to drive progress/decisions on case management. Provides high level data collection, report review, information sharing, problem resolution and related recordkeeping for the purpose of meeting Employee Health and Safety customer needs. Assesses the effectiveness of occupational action plans for injured/ill System employees. Supports the EHS Resource Coordinator Team with routine Safe Patient Handling training. Supports and assists with coordination of annual respiratory fit-testing programs to meet Employee Health and Safety policies and OSHA requirements.

Duties and Responsibilities

Essential Functions:

+ Actively provides telephonic case management of work-related injuries/illnesses. Regularly communicates with injured employees, treating providers and supervisors about work related injuries.

+ Educates team members about their plan of care and treatment/care options. Assists in decision making, scheduling appointments, therapy, and other services. Provides coaching and positive dialog to injured employees as needed.

+ Liaises with Third Party Administrator (TPA) and related parties concerning workers' compensation claims and workers' compensation program operation. Participates in workers compensation program decision making.

+ Keeps accurate medical records on workers compensation cases, and reviews/updates case files with TPA to drive decisions. Communicates with TPA regarding injury patterns, accident investigations, etc..

+ Coordinates the systemwide Alternative Duty Program and associated policies/procedures. Arranges work assignments, performs timecard reviews, and coordinates payroll, PTO requests and leave of absence submittals.

+ Maintains accurate and timely data entry into the Employee Health and Safety electronic record and TPA system.

+ Triages urgent issues from managers and staff. Elevates necessary concerns to Department Leadership.

+ Provides statistical input to the development and implementation of injury prevention programs to support Employee Safety Specialists, Safety Subcommittees, and Department Leaders.

+ Facilitates alternative instruction process on the proper use of patient lift equipment and handling procedures for new staff when needed. Maintains competencies via periodic training engagement.

+ Actively participates in quarterly claims review meetings.

Common Expectations:

+ Maintains established policies and procedures, objectives, quality assessment and safety standards.

+ Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

+ Regularly contributes to Department huddles, and meetings.

+ Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

+ High School Diploma or GED Required

Work Experience:

+ Less than 1 year 6 months nursing experience Required

+ 2 years case management experience Preferred

Licenses:

+ Licensed Practical Nurse Upon Hire Required or

+ Licensed Practical Nurse Multi State License Upon Hire Required

Courses and Training:

+ Completion of a state-approved LPN or LVN program Upon Hire Required

Knowledge, Skills, and Abilities:

+ Functional understanding of Excel and other Microsoft Office software

+ Excellent communication and writing abilities, effective at presentations to small and large groups

+ PA workers' compensation experience highly preferred

Benefits Offered:

Comprehensive health benefits

Flexible spending and health savings accounts

Retirement savings plan

Paid time off (PTO)

Short-term disability

Education assistance

Financial education and support, including DailyPay

Wellness and Wellbeing programs

Caregiver support via Wellthy

Childcare referral service via Wellthy

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.