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OHS Claims Case Coordinator / Onsite / Workers Compensation exp

Primary Location Los Angeles, California Worker Location Onsite Facility Venice Medical Offices Job Number 1325752 Date posted 01/22/2025
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Description:
Job Summary:

The Occupational Health Services, Case Coordinator guides, facilitates and expedites the care and optimal recovery of patients and or employees having complex workers compensations issues related to work injuries and illness.

Essential Responsibilities:


  • Initiates case management for complex workers compensation cases including the development and monitoring of a case management plan.

  • Acts as a liaison between employees, employers and medical staff to coordinate care, appointments, referrals/consult authorization, and communicates work restrictions, extended time off and the need for further treatment.

  • Monitors patients who present with complex workers compensation issues and consults with employers, patients and medical staff to facilitate returning the patient to usual and customary duties or to assist in initiating the rehabilitation process.

  • Manages OHS data from multiple sources which support case management, utilization patterns, practice guidelines and employer data.

  • Contributes to the patient and staff education concerning the workers compensation system.

  • Interviews and counsels patients/families concerning workers compensation, home environment, safety, availability of support networks, community facilities/resources and supplemental benefits.

  • Facilitates and promotes the identification of broad-based employer, employee, carrier and medical staff issues which are then referred to the OHS team for service improvement opportunities or activities.
Basic Qualifications:
Experience


  • Minimum two (2) years of related work experience in Workers Compensation claims administration including coordinating/managing workers compensation cases, modified work, risk management, and injury and illness prevention.

Education

  • Associates degree required, OR two (2) years of experience in a directly related field.
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration
  • N/A
Additional Requirements:

  • Insurance Education Certification in Workers Compensation or equivalent experience.
  • Demonstrated ability to utilize computer technology to help track control and report on program activity and results required.
  • Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:

  • Self Insurance Administrator Certificate preferred.
Primary Location: California,Los Angeles,Venice Medical Offices Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: NUE-SCAL-01|NUE|Non Union Employee Job Level: Individual Contributor Department: Venice MOB - Occupational Health-Reg Clin - 0806 Pay Range: $73200 - $94710 / hour Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Travel: Yes, 15 % of the Time On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

  • Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.

  • Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.

  • Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.
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