RN Case Manager, Team Health Workers' Comp

Hackensack Meridian Health•,

About The Position

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The RN Case Manager, Team Health Workers' Comp manages all aspects of the care of team members who have been injured on the job. Works directly with the workers' compensation carrier, third party administrator, treating providers, the team member, and various departments to facilitate appropriate treatment and all care for work related injuries.

Requirements

Associates Degree.
Minimum of 2 years experience in a healthcare environment.
The ability to learn quickly and adapt to changing patient needs, a strong sense of accountability for improving the lives of our team members; an exceptional focus on teamwork; dedication to ongoing education and the ability and passion to deliver the highest quality of care based on a strong sense of patient focus.
Excellent written and verbal communication skills.
Proficient computer skills that include but are not limited to Google Suite platforms and EMR systems.
NJ State Professional Registered Nurse License.
BLS/CPR Certification.

Nice To Haves

Minimum of 4 years or more of occupational health experience.
BSN.
Previous Case Management experience.

Responsibilities

Directly manages complex cases. Develops treatment plans that improve quality and efficiency while controlling costs and monitoring outcomes.
Assesses the treatment plan; coordinates appropriate specialty referrals, diagnostic testing and therapies, monitoring progress and duty status. - Familiar with HR Policy & Procedures integrated in Team Health practice i.e., FMLA, NJFLA, etc.
Manages complex WC cases; review specialty progress notes for accuracy i.e; causality, duty status.
Participates in periodic case reviews with the HMH worker's compensation insurance provider/third party administrator.
Reviews lost and modified time. Notifies the absence management administrator of all appropriate lost time cases. Notifies Human Resources of all lost time cases 7 days or less.
Assesses progress toward maximum medical improvement (MMI).
Assesses the need to initiate the interactive process of modified duty for HMH team members.
Reviews team member Extended Sick Leave (ESL) requests and prepares documentation and communicates determination to leader. Reviews legal correspondence and takes appropriate action.
Demonstrates positive behavior in face of opposition of team members or external clients who are non-compliant or otherwise not engaged in the treatment plan.
Utilizes sound clinical judgment in all aspects of the treatment plan, collaborating with the treatment team.
Communicates with providers and other disciplines in a timely manner to review case progress and address issues.
Acts as a professional resource for designated site(s) regarding team member blood borne pathogen and communicable disease exposures, compliance with treatment recommendations and follow up care.
Ensures follow up for licensed health care provider fitness for duty issues; acts as liaison between RAMP organization and Human Resources.
Fosters a multidisciplinary approach to case management of internal and select external worker's compensation cases.
Documents case activities in the case management note in the EMR system. Documentation is descriptive and clearly communicates case progress.
Supports Site Supervisor as needed.
Supportive role for HMH entities site inspection by regulatory agencies. Alternate hospital committee attendance.
Develops and presents educational programs for internal and external clients as required.
Adheres to HMH organizational competencies and standards of behavior.
Provides coverage and support for full time case manager absences, must have flexible schedule
Responsible for OSHA reporting for HMH assigned entities. Completes OSHA 301/300 logs for all applicable injuries and uploads monthly OSHA reports.
Other duties and/or projects as assigned.