Workers Compensation Rehab Case Manager - Wheatlyn Rehab (Outpatient Clinic) - Day

Schedule

Full-Time: 40 Hours/Week

Monday - Friday

7:30 am - 4:00 pm or 8:00 am - 4:30 pm

General Summary

Develops, implements and assesses the effectiveness of occupational action plans for Workers Compensation cases in Rehabilitation. Provides workers' compensation case management, physician liaison, and facilitation of communication to all members of the health care team. Tracks trends and issues regarding access to rehabilitation services. Participates in clinical care on occasional basis.

Essential Functions:

• Communicates with injured employees about work related injuries. Provides case management of work-related injury/illness. Liaison with third party administrator, legal representation and outside nurse Case Managers.
• Tracks work-related injury/illness for trending purposes. Analyzes data and prepares appropriate reports. Maintains updated job descriptions. This includes knowledge of Workers Compensation law. Provides monthly, quarterly and end of year statistics.
• Keeps accurate medical records on Workers Compensation cases.
• Triages urgent issues from rehabilitation clinics; elevates necessary concerns to Supervisor.
• Ensures compliance with standard work; makes recommendations for process improvement as it relates to worker's compensation administrative requirements, communication and clinically preparing patients for return to work.
• Provides coaching and positive dialogue among staff members to develop their knowledge of worker's compensation enabling us to become a preferred provider with employers/insurance companies.
• Facilitates return to work for rehabilitation patients.
• Facilitates coordination of care and provides oversight of work comp cases through the department's point people and meetings with OVR, WellSpan internal Case Managers and WellSpan Occupational Health practice.
• Triages FCE referrals to ensure appropriateness for scheduling and safety for testing.
• Contacts employers for job descriptions, specific job-related information as needed and to schedule job site visits to analyze the physical/cognitive demands of the injured worker's job.
• Provides administrative support for TPA contracts to ensure reimbursement of services and good standing with TPA companies.

Common Expectations:

• Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.
• Fosters teamwork with professional leadership style and effective communication.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Provides outstanding service to all customers and practices fiscal responsibility through improvement and innovation.

Required for All Jobs:

• Performs other related duties as identified.
• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Frequently
• Carrying/Lifting - Occasionally
• Pushing/Pulling - Occasionally
• Reaching - Rarely
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Occasionally
• Eye/Hand/Foot Coordination - Occasionally

Working Environment:

• Bloodborne Pathogen - Exposure

Travel Requirements:

• Estimated Amount: - Frequent Travel within service area.

Qualifications
Minimum Education:

• Associates Degree Required

Work Experience:

• 5 years Recent Workers' Compensation case management. Required
• PA Workers Compensation law and case management. Preferred

Licenses:

• Licensed Physical Therapist Assistant Upon Hire Required or
• Licensed Occupational Therapist Assistant Upon Hire Required

Courses and Training:

• Graduate of an accredited physical therapist assistant. Upon Hire Required or
• Graduate of an accredited occupational therapist assistant program. Upon Hire Required

Knowledge, Skills, and Abilities:

• Understanding of Excel and other Microsoft Office software.
• Excellent communication and writing abilities.
• Effective at presentations to small and large groups.
• Leadership of others, coaching/team building, and policy writing.