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OccuptlHealth\WC Crd Oakland, CA

This position coordinates, facilitates, & expedites the care & recovery of patients &/or employees w/ work-related injuries & illnesses. Acts as liaison between patients & employers &/or workers compensation carriers & medical staff to assure organized & efficient management of medical care to return work-injured patients back to work as soon as medically & administratively possible. This role educates & guides management, patients, & medical staff through the workers compensation system.
Essential Functions:
- Acts as liaison between employees, employers, & workers compensation carriers & medical staff
- Coordinates appointments, referrals authorization, & communication regarding work restrictions, extended time off, need for further treatment, & vocational rehabilitation
- Provides continuity of care to patient by coordinating needed services & consultation, such as physical therapy, orthopedic surgery, etc
- Monitors patients progress at work & triggers review for work modifications
- Meets w/ employer/employee groups & workers compensation carriers to review, evaluate, & discuss specific problems & concerns per case management guidelines
- Makes provisions for offsite work process & job duty evaluations; makes recommendations to employers and employees with concerns regarding work-place hazards
- Collects data & prepares reports
- Assists in the development & presentation of educational programs for work-site health promotions
- Works w/ business office staff to assist in organization of authorization for care & efficient billing & other paperwork required by employers & insurance carriers


Qualifications:

Basic Qualifications:
- Minimum 2 years of experience to include coordinating return to work or modified work programs and/or ongoing contact with multiple, varied and local employer groups, workers compensation carriers and third party administrators.
- Experience developing procedures and policies
- Associate's degree and/or Insurance Education Certificate in Workers Compensation, Self Insurance Administrators Certificate and/or equivalent experience
- Bachelor's degree preferred
- Proven technical or academic knowledge in occupational health and/or workers compensation
- Ability to interface with employers and management in guiding them through complex regulatory and legal issues
- Team player with ability to manage a wide variety of projects simultaneously
- Excellent communication skills with emphasis on negotiations and problem solving
- Must be able to work in a Labor/Management Partnership environment

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