Leave and Workers’ Compensation Manager

OMNI FAMILY HEALTH•Bakersfield, CA

9d•$91,566 - $114,458

About The Position

Under the direction of the Senior Director of Human Resources (SDHR), the Leave and Workers’ Compensation Manager (LWCM) of Omni Family Health (Omni) provides professional administration and oversight to a growing network of state-of-the-art health centers serving California’s Central Valley. As a member of the organization’s Human Resources (HR) Department, the LWCM manages and participates in the day-to-day administration of Omni’s leave of absence, workers' compensation, disability, accommodation, and return-to-work programs. The position oversees program operations, manages complex leave and workers' compensation cases, and provides leadership and direction to assigned staff. The LWCM ensures compliance with applicable laws and regulations, administers related policies and procedures, and promotes an effective and employee-centered leave management program. Additionally, the position contributes to departmental planning, process improvements, and operational initiatives that support organizational objectives.

Requirements

Bachelor's Degree in Human Resources, Risk Management, Business Administration, or a related field
Six (6) years of progressively responsible Human Resources experience administering employee leave of absence, workers' compensation, disability, and accommodation programs, with three (3) years in a management role, preferably within a Federally Qualified Health Center (FQHC), healthcare, or nonprofit setting.
Working knowledge of federal, state, and local employment laws, including the Family and Medical Leave Act (FMLA), California Family Rights Act (CFRA), Americans with Disabilities Act (ADA), California Pregnancy Disability Leave (PDL), workers' compensation laws, and related regulations.
Experience utilizing Human Resources Information Systems (HRIS), leave management, and claims administration systems, including ADP and related applications.
Proficient in Microsoft Office Suite (Word, Outlook, Excel, PowerPoint, etc.).

Nice To Haves

Professional in Human Resources (PHR), Society for Human Resource Management Certified Professional (SHRM-CP), Certified Leave Management Specialist (CLMS), Workers' Compensation Claims Administration Certification (WCCA), or a similar certification preferred.
Bilingual in English and Spanish preferred.

Responsibilities

Participates in the day-to-day administration of Omni’s leave of absence, workers' compensation, disability, accommodation, and return-to-work programs while managing overall program operations. Oversees complex case management activities and ensures compliance with applicable federal and state laws, regulations, and organizational policies.
Provides leadership, direction, and operational oversight to assigned staff, including coaching, training, performance management, workforce planning, employee development, scheduling, and recruitment activities to ensure effective service delivery and achievement of departmental goals.
Serves as the primary escalation point for complex leave, workers' compensation, disability, accommodation, and return-to-work matters, providing guidance, risk assessment, and recommendations to leaders, employees, and HR management.
Develops, implements, and monitors departmental procedures, workflows, service standards, and best practices to promote operational efficiency, regulatory compliance, consistency, and a positive employee experience.
Plans, assigns, and evaluates departmental workload and resources to ensure timely and accurate administration of leave requests, workers' compensation claims, disability claims, and accommodation requests.
Conducts audits, case reviews, and quality assurance activities to evaluate program effectiveness, identify risks, ensure documentation accuracy, and maintain compliance with federal, state, and organizational requirements.
Partners with HR leadership in the development, implementation, interpretation, and administration of policies, procedures, and programs related to leave administration, workers' compensation, disability management, accommodations, and return-to-work processes.
Analyzes trends, performance metrics, claim activity, leave utilization, accommodation requests, and departmental outcomes to identify opportunities for process improvement, risk mitigation, cost containment, and enhanced service delivery.
Collaborates with HR leadership to establish departmental goals, strategic priorities, staffing plans, budgets, operational objectives, and continuous improvement initiatives.
Develops and delivers training, guidance, and educational resources for managers, supervisors, and employees regarding leave administration, workers' compensation, accommodations, disability programs, and return-to-work requirements.
Partners with insurance carriers, third-party administrators, legal counsel, medical providers, regulatory agencies, and other stakeholders to resolve issues, support compliance efforts, and ensure effective program administration.
Prepares and presents reports, analyses, recommendations, and updates regarding program performance, compliance activities, workforce trends, and operational outcomes to HR leadership and other stakeholders.
Prepares and presents operational reports, trends, and department performance metrics to HR leadership and other stakeholders as requested.
Ensures the department provides cohesive support to the mission, vision, and core values while delivering superior customer service.
Works closely with all corporate branches, divisions, and/or departments in accordance with Omni’s policies and procedures.
Other duties and/or responsibilities as the LWCM may be assigned from time to time.
Some travel may be required.
Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements.
Ensures compliance with all local, state, and federal regulations.
Participates as required in QA/QI activities and contributes towards the overall quality improvement initiatives of the organization.
May be required to learn and use the electronic health record and its components as required by the job functions and highlighted in the policies and procedures. These components include NextGen, Practice Management System (PMS), Quality Systems Inc. (QSI), and other electronic features as they are developed and implemented, as applicable to work environment.
All employees will participate in PCMH at Omni Family Health.
Contributes to required Health Resources and Services Administration (HRSA), Operational Site Visit (OSV), The Joint Commission (JC), and other audit events.