Occ Health Case Management Rep

Banner Health•Phoenix, AZ

6d•Onsite

About The Position

Banner Occupational Health is seeking an experienced and highly organized Occupational Health Case Coordinator to manage occupational health cases throughout the continuum of care. This role serves as a central liaison among patients, providers, employers, workers’ compensation insurance carriers, and ancillary service providers to ensure the delivery of high-quality, cost-effective care. The Occupational Health Case Coordinator utilizes established occupational health protocols to coordinate services, facilitate communication, monitor case progression, and support optimal clinical and financial outcomes. This position plays a critical role in ensuring injured employees receive timely treatment and appropriate resources while maintaining effective communication with all stakeholders involved in the workers’ compensation process. Banner Occupational Health Clinics are medical clinics specializing in worker's compensation injury care, drug testing, alcohol testing, physical examinations, Department of Transportation exams and Occupational Safety and Health Administration (OSHA) mandated exams. Employers and employees alike benefit from reduced absenteeism and turnover, increased productivity, morale and job satisfaction and are less likely to become sick or injured. 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.

Requirements

High school diploma/GED or equivalent working knowledge.
Proficiency level typically achieved with 3 years experience in healthcare as a Nursing Asst, Medical Asst, Health Unit Coordinator, Patient Care Tech, Patient Billing, etc.
Understanding of medical terminology.
Effective communication skills.
Human relations skills.
Strong organizational and time management skills.
Flexibility in responding to multiple demands.

Nice To Haves

Additional related education and/or experience preferred.

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.
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.
Communicates continually with patients, other departments (clinic managers, providers, worker’s 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.
Monitors and tracks all referral activities within the company’s ancillary and specialist referral network.
Reports drug screen results to employers and records results in database.