Occ Health Case Management Rep

Key Responsibilities

• Coordinate occupational health and workers’ compensation cases across the continuum of care.
• Serve as a liaison between providers, patients, contract employers, workers’ compensation insurance carriers, and external service providers.
• Monitor case progress and ensure timely follow-up on treatment plans, referrals, diagnostic testing, and return-to-work activities.
• Communicate patient status updates and treatment progress to authorized stakeholders in accordance with regulatory and confidentiality requirements.
• Carefully coordinate care plans to promote positive clinical outcomes and cost-effective treatment.
• Maintain accurate case management records and documentation within electronic health record and case management systems.
• Support return-to-work and modified-duty processes when applicable.

Core Functions

• Communicates continually with patients, other departments (clinic managers, providers, workers’ compensation, risk mgmt, human resources), contract employers, referral network providers and worker’s compensation carrier case managers to ensure that appropriate plans and protocols are being followed and that the patient is discharged from care with a timely and appropriate return to work status.
• Maintains current open and discharged case files in internal computer database.
• Makes sure all referral activities within the company’s ancillary and specialist referral network are monitored and tracked.
• Reports drug screen results to employers and records results in database.
• Works under general supervision. Confers with supervisor on any unusual situations.

Work Environment

This position collaborates closely with providers, employers, injured workers, insurance carriers, referral partners, and internal departments to coordinate occupational health services and ensure positive patient, employer, and financial outcomes.

Position Summary

This position coordinates care of Occupational Health cases across the continuum of care to achieve optimal clinical and financial resource outcomes. As a resource to facilitate that care, this position will use the company’s occupational health protocols and act as a liaison between providers, ancillary referral services (physical therapy, radiology, laboratory, specialty referrals), contract employers, worker’s compensation insurance carriers and outside service providers. The purpose of this position is to promote quality and cost effective patient care through integrated data management and communication with all affected parties.