Occupational Health Case Manager

Advocate Health and Hospitals Corporation • Neenah, WI

13d • Hybrid

About The Position

The Occupational Health Case Manager serves as an educator and resource to employers and injured employees, providing health education to enhance understanding of conditions, treatments, and procedures, and interpreting care plans and medical results. This role utilizes nursing assessment and clinical reasoning skills to develop patient care plans that facilitate recovery and return to work. The Case Manager collaborates with multidisciplinary teams, coordinates care across the continuum, and supports patients and families by addressing psychosocial needs, advocating for care, and identifying barriers. Regular collaboration with providers ensures timely modifications to care plans and facilitates communication among all involved parties. The position requires the ability to assess and interpret patient data based on age-specific needs and to perform other related duties as assigned.

Requirements

• Registered Nurse license issued by the state in which the team member practices.
• Associate's Degree in Nursing.
• Typically requires 3 years of experience in clinical nursing.
• Position requires working knowledge of the components of quality and patient care needs specifically related to injury care management and knowledge of workers compensation.
• Excellent analytical and interpersonal communication skills necessary to negotiate with families, patient, physicians and third party payers for optimum plan.
• Demonstrated ability to work well with physicians and other professionals in a direct and positive manner.
• Demonstrated ability to take the initiative in responding to employers, communicating with providers to create a clear and concise picture of the injured employee's recovery process.
• Must have the ability to make suggestions on interventions that will expedite employee's return to work.
• Intermediate computer skills including experience in using Microsoft Office (Excel, PowerPoint and Word) or similar products.
• RN license in both WI and IL required.

Responsibilities

• Serves as an educator and resource to the employer and injured employee, providing health education to enhance the understanding of conditions, treatments and/or procedures and interpreting the care plan and medical results.
• Uses nursing assessment and clinical reasoning skills to assess patient's medical history, current conditions, and response to treatment to develop a plan of care that helps patient progress reasonably through recovery to reach end of healing and return to work.
• Collaborates with multidisciplinary team and other departments to develop plan of care.
• If patient is unable to return to work, uses clinical judgment to provide recommendations for disposition, partnering with the physician.
• Coordinates timely, seamless, evidenced based care across the care continuum resulting in best patient outcomes.
• Ensures smooth transitions between care settings.
• Uses nursing expertise to help patient navigate through subsequent treatment and follow up.
• Supports the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care and identifying barriers to care.
• Collaborates with providers regularly and ongoing regarding patient care plan.
• Makes suggestions in expediting care and makes modification to a tentative plan on a timely basis, if necessary.
• Facilitates communications between and negotiates with the patient/family, physicians, nurses, dietary, rehabilitation, and other disciplines that need to collaborate to provide care for the patient.
• Identifies, evaluates, and acts to resolve any potential barriers to delivery of care and a timely and appropriate discharge.
• Collects accurate data on outcomes and resource utilization issues and facilitates reporting of utilization monitoring/review activities to the appropriate committees/persons.
• Works closely with the medical staff, hospital departments and ancillary services in expediting care delivery and appropriate documentation to avoid delays in timely service provision.
• Validates care that is provided.
• Promotes effective professional relationships with physicians, other department members and hospital staff; facilitates problem solving, as appropriate.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the departmental policies and procedures.

Benefits

• Comprehensive suite of Total Rewards: benefits and well-being programs
• Competitive compensation
• Generous retirement offerings
• Programs that invest in your career development
• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree