Field Case Manager -Workers Compensation

Southern Company • Atlanta, GA

4d • Onsite

About The Position

Manage occupational and non-occupational medical issues of employees to resolution in a manner which provides appropriate medical care and is expedient, efficient, cost effective and consistent with Safety & Health goals and values. Work closely with Medical and Health Management Team members, health care professionals, corporate legal counsel, company HR representatives and company management in Southern Company.

Requirements

• Bachelor's degree in nursing or healthcare related field required.
• RN (active license in state of practice) required
• Minimum of 4 years worker's compensation case management or occupational medicine experience.
• Ideal candidate will have work experience in medical surgical, ER, or ICU.
• Must be available for "24x7 on call" assistance up to 1 week per month.
• Candidates must be available for storm duty assignments, which may require extended periods away from home for two weeks or longer.
• Candidates must possess an active Certified Case Manager (CCM) or Certified Occupational Health Nurse (COHN) certification, or be willing to obtain the certification within the first year of employment.
• Working knowledge of medical management practices, and professional code of conduct, Georgia Workers Compensation laws, Family Medical Leave Act regulations, Americans with Disability Act Amendment Act, 1973 Rehabilitation Act-Section 503, medical privacy regulations and Human Resources Management practices.
• Ability to interpret and apply medical related benefit policies and plans.
• Ability to work with minimal supervision and work direction.
• Ability to manage time, priorities and professional relationships effectively and efficiently.
• Strong clinical assessment and medical treatment skills.
• Excellent oral and written communication and customer service skills.
• Occupational Medicine Case Management experience, Certified Case Management accreditation, and/or Certification as Occupational Health Nurse Specialist.
• Ability to work away from home for extended periods (up to 2 weeks) during emergency storm restoration duty.
• Available for daily travel within the service territory.
• Must have experience working with Microsoft Office products
• Maintain confidentiality.

Nice To Haves

• Master's degree in Health Science, Rehabilitation Counseling or related field preferred.

Responsibilities

• Provide medical assessment of on-the-job injuries prior to transport to a care facility.
• Coordinate activities related to medical management of injury/illness cases under the guidance of corporate medical directors.
• Coordination with Workers Compensation department: including investigation, compensability determination, company defense, and approval of medical treatment and payment.
• Coordinate the accommodation process for client departments according to the Americans with Disabilities Act Amendment Act (ADAAA).
• Facilitate job analysis and return to work activities.
• Assist management in determining employee Fitness for Duty and coordination of related processes.
• Establish and maintain documentation of all case management decisions and communications.
• Communicate clearly and timely with management, employees, medical director, and fellow Medical and Health Management team members.
• Consult with employees and management on applicability of other available resources (LTD, Workers Compensation, Medical Benefits, EAP/Mental Health Benefits, Fitness for Duty Exams, Etc.)
• Provide on-site support for mandatory physicals (DOT, ERT, OSHA)
• Support employee Health and Wellness initiatives, including health fairs, immunizations, health education and other company-supported programs.
• Provide medical support for employees working on storm restoration.

Benefits

• competitive base salary
• annual incentive awards for eligible employees
• health, welfare and retirement benefits designed to support physical, financial, and emotional/social well-being
• Additional and specific details about total compensation and benefits will also be provided during the hiring process.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level