Care Coordination, Workers Compensation: Orthopedic Care

Trinity Health

1d•Onsite

About The Position

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well. At MercyOne Genesis Medical Group, we are dedicated to providing a medical home with high quality care where the focus is on you and your family’s health. We are the largest medical group in the Quad-Cities providing our community care where it wants it and care when it needs it. MercyOne Genesis Bettendorf Orthopedics Care Day-to-day activities become difficult, if not impossible, when you're suffering from hip, knee, shoulder or other joint pain. As leaders in joint care, our surgeons, nurses and therapists at MercyOne Bettendorf Orthopedics Care will guide you through education, treatment and recovery. At MercyOne, we use the latest techniques and advanced technology to provide you with the best treatment options, all close to home. You can be confident that our team of experienced specialists will use minimally invasive procedures whenever possible. Getting you back to living your best life – that’s our one purpose. Want to learn more about MercyOne Genesis Bettendorf Orthopedics Care? Click here: MercyOne Genesis Bettendorf Orthopedics Care | MercyOne Join the MercyOne Family! We are looking to hire a Care Coordinator in our MercyOne Genesis Bettendorf Orthopedics Care Clinic As a Care Coordinator at MercyOne, you will Contribute to the success of the Department of Orthopedics & Rehabilitation providing services for the Work Injury Recovery Center.

Requirements

Bachelor’s degree in Nursing or a related field, or an equivalent combination of education and experience is required.
Current license to practice nursing.
1-3 years of clinical experience.
Experience coordinating care along the healthcare continuum.
Excellent written and verbal communication skills.
Must be proficient in MS Office computer software applications.
Experience providing customer service in a direct or in direct manner working with patients, care providers, case managers, or insurance carriers.

Nice To Haves

Experience working in orthopedic clinics and knowledge of orthopedic terminology.
Working knowledge of practices, tools, and considerations for managing claims processing.
Experience with management of musculoskeletal injuries.
Working knowledge of University policies, procedures and regulations.
Certification in Case Management or Certification in Occupational Health Nursing.

Responsibilities

Responsible for non-medical, administrative management of specialized worker’s compensation patient.
Assist in communication and resolution of return-to-work issues and conflicts between employers and patients by communicating with WIRC providers, patients, employers, PT/ergonomics evaluators, outside nurse case managers.
Assist in patient care management, which requires complex clinical management, in conjunction with WIRC providers and non-ortho clinic staff, as well as outside case managers, insurers, and third-party administrators.
Assist in responding to requests for opinions on causation of injuries and need for treatment, acquiring cost estimates for recommended treatments for insurers, and other requirements of WIRC patients for authorizing and scheduling orthopedic procedures.
Assist as a liaison between WIRC providers and the payors to ensure patient’s postoperative needs are met by communicating the provider’s wishes and assist with facilitation of the same
Assist WIRC providers drafting written communications for insurers, attorneys, and patients, as well as responding to CRMs.
Coordinate WIRC outreach with employers and attend state and regional meetings in a marketing capacity.
Work collaboratively with nursing clinic staff and non-clinic WIRC teammates in serving complex patient and provider care actions
Coordinating the Work Injury Recovery Center provider clinics
Completing Worker’s Compensation forms and requests
Analyzing Worker’s Compensation data
Managing work comp insurance related issues
Serving as primary point of contact for outside nurse case managers
Coordinating with both internal to MercyOne and external work comp customer teams for optimization of workflow.