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Banner's Occupational Health is designed to help identify health risks, link patients to appropriate resources, make positive lifestyle choices, and establish baselines for regular health monitoring. As a Case Management Representative in Occupational Health you will support our Banner University Medical Center Occupational Health office. Some of the duty responsibilities in this role include, but is not limited to: processing workers compensation claims, case managing quality control of claims, results, referral prior authorizations, data management/reporting and processing PPE/annual physicals and testing. This opportunity is full-time, Monday-Friday 7:30am-4:00pm.
Banner Occupational Health Clinics are medical clinics specializing in worker's compensation injury care, drug testing, alcohol testing, physical examinations, Department of Transportation exams and Occupational Safety and Health Administration (OSHA) mandated exams. Employers and employees alike benefit from reduced absenteeism and turnover, increased productivity, morale and job satisfaction and are less likely to become sick or injured.
POSITION SUMMARY This position coordinates care of Occupational Health cases across the continuum of care to achieve optimal clinical and financial resource outcomes. As a resource to facilitate that care, this position will use the company's occupational health protocols and act as a liaison between providers, ancillary referral services (physical therapy, radiology, laboratory, specialty referrals), contract employers, worker's compensation insurance carriers and outside service providers. The purpose of this position is to promote quality and cost effective patient care through integrated data management and communication with all affected parties.
CORE FUNCTIONS 1. Communicates continually with patients, other departments (clinic managers, providers, worker's compensation, risk mgmt, human resources), contract employers, referral network providers and worker's compensation carrier case managers to ensure that appropriate plans and protocols are being followed and that the patient is discharged from care with a timely and appropriate return to work status.
2. Maintains current open and discharged case files in internal computer database.
3. Monitors and tracks all referral activities within the company's ancillary and specialist referral network.
4. Reports drug screen results to employers and records results in database.
5. Works under general supervision. Confers with supervisor on any unusual situations. Positions are facility based with no budgetary responsibility. Internal customers: All levels of nursing management and staff, human resources, medical staff, and all other members of the interdisciplinary health care team. External Customers: Designated contacts of external employers, insurance providers, county and governmental agencies, case managers, medical care providers, ancillary care providers, and medical supply companies.
MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge.
The position requires a proficiency level typically achieved with 3 years experience in healthcare as a Nursing Asst, Medical Asst, Health Unit Coordinator, Patient Care Tech, Patient Billing, etc.
Requires an understanding of medical terminology. Must demonstrate effective communication skills, human relations skills, strong organizational and time management skills and flexibility in responding to multiple demands.
PREFERRED QUALIFICATIONS Additional related education and/or experience preferred.
What might draw you to Banner Health? A great health care career, of course—and a great place to live, no matter what stage of life you’re in. With facilities across the West, there is a health care career for everyone, from big city living in the Phoenix area to friendly small towns in the mountains and plains. As one of the largest nonprofit health systems in the country, Banner Health offers both the stability that comes with success and the possibility of exploring new areas of the country. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages:
Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health.
Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible.
The size, success and growth of our system provide you with the stability and options to pursue your desired career path.
Competitive compensation and comprehensive benefits offer you options to complement your unique needs.