Job Information
JBS USA WORKERS COMPENSATION MANAGER in Souderton, Pennsylvania
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