Workers' Compensation Care Manager

Req Number 93074

Job Description

Serves as a liaison between internal/external stakeholders to facilitate the workers' compensation claim process throughout the continuum of care. Responsible for caseload within assigned region. Provides data and analytics to drive performance improvement. Participates in implementing loss control initiatives and education.

Job Responsibility

1.Advocates for injured team member throughout workers' compensation claim process while maintaining team member's privacy and safety.

2.Establishes and maintains relationships with treatment medical providers to advance advocacy model.

3.Attends in-person medical evaluations and appointments as needed.

4.Coordinates with internal stakeholders (i.e. workers' compensation coordinators, human resources and employee health services) throughout workers' compensation claim process to monitor employee's physical abilities and facilitate transitional duty assignments, and return to work.

5.Collaborates with external third-party claims administrators throughout workers' compensation claim process. Participates in workers' compensation claim meetings to report out on claim status, provide reserve recommendations, and facilitate claim handling.

6.Enters claim documentation including, but not limited to, case notes, file attachments, emails, and relevant return to work dates in system.

7.Gathers and analyzes related data to determine the impact of case management activities on timely injury recovery, medical treatment, return to work, claim costs, injured team members, and client satisfaction.

8.Identifies trends in the workers' compensation claim process and recommends strategies to enhance results and mitigate loss.

9.Collaborates with Workforce Safety, Employee Health Services and Site Human Resources to develop and implement loss control initiatives and provide related mitigation education.

10.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• Graduate from an accredited clinical education program, required.

• Current related Clinical License to practice in New York State, required.

• Current NYS Driver's License, required.

• 1-3 years of relevant experience, required.

• Demonstrated knowledge of Microsoft applications, required.

• Strong communication and customer relation management skills.

• Strong technical experience, highly preferred.

• Data analytics experience, highly preferred.

• Comfortable with traveling to different sites, highly preferred.

• Knowledgeable on medical terminology and treatment plans, highly preferred.

• Strong Excel (pivot tables, formulas and etc) skills, highly preferred.

• Experience with C-Suite, highly preferred.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $55,070-$85,720/year

It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.