JBS USA WORKER'S COMPENSATION CASE MANAGER in Tolleson, Arizona
Purpose & Scope: To collaborate with and act as a liaison between injured employees, plant management, medical providers, and corporate risk management. Ensure all necessary information and questions are addressed from any of the relevant parties, and that Worker’s Compensation claims are timely returned to their optimum level of function within the shortest time possible consistent with JBS business policy and objectives.
Provide information and act as the Company liaison to explain benefits provided through Workers’ Compensation.
Maintain close working relationship with plant Health Services, Safety, Human Resources, Operations, and Corporate Risk Management.
Develop individual medical case management plans for injured employees.
Coordinate the exchange of information among the Health Services staff, the HR staff and the TPA to avoid errors and/or delays in claims submission/payment
Lead weekly claim reviews of all open cases with a focus on return to work and claim closure/resolution
Communicate loss experience and data analysis to Health Services, Safety and Risk Management to report on a weekly basis
Assist with continuous quality improvement of Workers’ Compensation claims submission policies, procedures, processes and programs.
Consult with corporate risk management on settlement and reserve valuations
Make appropriate recommendations on return to work, settlement or other case closure opportunities
Initiate permanent placement process once permanent restrictions are assigned
Assist with the development and distribution of claim management and financial reports (ad hoc, monthly, quarterly and annual)
Maintain accurate workers’ compensation records and reports to comply with federal and state record keeping requirements
Establish and maintain professional relationships with employees from all levels of the business as well as with doctors, medical professionals in the community and company attorneys.
Attend doctor appointments when necessary
Help cover department vacancies when needed, possibilities of weekend coverage, perform any other duties as assigned
Education: RN or a minimum of five (5) years of experience in occupational health. Commission of Case Management Certification (CCMC-CCM) or American Board of Occupational Health Nursing (ABOHN-CM) Certification, or Occupational Health Nurse (COHN or COHN-S) preferred.
Analytical and mathematical skills required
Computer proficient; Ability to use MS Office and web based programs that manage workers’ compensation
Knowledge of Arizona workers’ compensation