Manager-Workers Compensation/Occupational Health

Valley Presbyterian - Van Nuys, CA (30+ days ago)4.1


Employment Status:
Full Time (72-80 Hours Per Pay Period)

Job Category:
Leadership/Management

JOB SUMMARY:
The Workers Compensation/Occupational Health Manager has a legal and ethical obligation to ensure associates with work related injuries and/or illnesses receive immediate and appropriate medical treatment. The Workers Compensation/Occupational Health Manager is responsible for the medical management of all work related injury claims, and the management of the Occupational Health Program.

EXPERIENCE/QUALIFICATIONS:
Position requires thorough knowledge of business administration and critical thinking principles, including financial management, legal diligence, strategic planning, and performance improvement systems and techniques.
Superior level of people skills required, understanding of diversity/cultural issues, management of time-line projects, with knowledge of California workers compensation law, ADA, FMLA, safety surveillance, personnel health compliance, human resources, infection control compliance, and occupational health protocols.
Manager will have the proven ability to manage people effectively and to work well within all levels of an organization and with people from varying backgrounds, experience and expectations. Individual has a developed sense of ethics and a history of ethical performance.
Computer literacy, including demonstrated proficiency to use Word, Excel, processing and spreadsheet functions at an expert level
Required knowledge and experience with California Workers Compensation Law, OSHA Regulations, Federal Family Leave Absence, and Medical Provider Network
Position requires minimum of 3 years managing workers compensation claims. Experience may be either employer or insurance claims handling.

EDUCATION:
Baccalaureate degree in Nursing preferred

LICENSURES/CERTIFICATION:
Must have current and valid California State RN License
Must successfully complete and maintain BLS certification
Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment
License or training in organizations for WCP, AOHP
DUTIES AND RESPONSIBILITIES ( These are the essential job functions for this position. The essential functions of this job include, but may not be limited to those listed in this job description. Employees hired for this position must be able to perform the essential function of this job without imposing significant risk of substantial harm to the health or safety of themselves or others) :

Oversee comprehensive employee health programs that include pre-placement health assessments for new employees; annual required physicals and tests for all employees’ complex-wide inoculations against epidemics.
Promotes employee health programs through active participation in risk management/safety and infection control committees.
Assumes a responsible and effective role in the proactive prevention of accidents to workers. When incidents occur, assures the employee receives immediate and appropriate medical treatment according to the ACOEM guidelines of California. Requires sensitivity, judgment, and patience in frequent communications with a diverse population consisting of ED and clinic physicians, specialty physicians, employees, third party agencies, department supervisors, managers, directors and administration.
Plans, directs, and coordinates occupational health activities.
Perform new hire physicals.
Works independently, to set priorities, make critical decisions regarding health matters, financial issues, communication, and to adjust schedule as needed to achieve goals.
File and maintain workers compensation claims via a Third Party Administrator.
Provides information to injured associates for filing workers compensation claims, monitor employee process, evaluate medical care plan compliance, and coordinate modified work for employee if appropriate
Investigates and assesses claimant’s statements/actions, interview witnesses, and report results to departments.
Requests third party surveillance for questionable associate activities and report fraud to appropriate agent.
Collaborates with attorneys and medical providers to safeguard VPH from litigious actions.
Leads the Occupational Health Program in a comprehensive safety program that will affect the frequency and severity of injuries with a focus on prevention of employee injury program.
Reviews and monitors associate safety compliance practiced in all areas of the hospital and recommends appropriate changes as necessary.
Reviews, develops and maintains departmental policies, ensuring compliance with accreditation and legislative requirements.
Coordinates ongoing hospital-wide educational programs related to employee safety and prevention and participates in staff development and orientation of all hospital personnel.
Assists with coordinating work-related injuries/illnesses through the Infection Prevention Program as it relates to the control and prevention of infection.
Maintains and reports OSHA logs, quarterly EOC, and other reporting mechanisms as appropriate.
Acts as an employee safety resource and consultant to hospital personnel and serves as a liaison between departments, administration and outside agencies.
Participates as member of EOC Committee and other committees as assigned.
Recognizes the need to provide a measurable means of monitoring annual goals/objectives and sets standards in order to evaluate and achieve the same.
Enhances professional growth and developmental through participation in educational programs, current literature, workshops, and regular attendance at professional organization meetings.
The following job accountabilities are not unique to this particular job but are common to all jobs at VPH:

Complies with VPH policies and procedures on customer satisfaction and service excellence. Demonstrates professionalism and cultural sensitivity in coordinating activities and communicating with all customers, peers, and the community at large. Conducts self in a professional, respectful and courteous manner during all interactions. Works effectively and collaboratively with others toward common goals.

Communicates accurately, honestly, supportively and in a timely manner with department and interdepartmental team members. Demonstrates effective business writing and oral communication skills, handwriting is clear and legible.

Participates in operational aspects of the department, and maintains/participates in performance improvement activities within the department.

Participates in all departmental specific training, Environment of Care (injury/illness prevention, fire/life safety, hazardous materials, emergency preparedness, utilities management, medical equipment management, safety and security management), infection control (standard precautions, TB Exposure Control Plan, Bloodborne Pathogen Exposure Control Plan).

Demonstrates knowledge of and follows safety practices. Understands the importance of safety, including patient safety in the work place. Maintains a safe environment for self and others.

Actively participates in the Patient Safety Program, including event reporting. Identifies sentinel events/near misses and responds per defined organization processes. Participates in education activities and process implementation. Demonstrates advocacy for the patient/customer and appropriately acknowledges patients, customers and visitors.

The above statements reflect the essential functions considered necessary to describe the principle content of the job. They are not intended to be a complete statement of all work requirements or duties that may be inherent in the job.

WORK ENVIRONMENT:
  • Primarily an inside building/office environment, well lighted and ventilated, which may consist of multiple treatment and/or work sites.
  • Fast and continuous work pace with variable workload.
  • Frequent contact with staff and public under a variety of circumstances. Requires ability to communicate clearly (in English) verbally and in writing for effective communication with other staff members, physicians, vendors, community members, patients and patient families, employees and applicants of all socio-economic levels from a diverse cultural and ethnic population.
  • Subject to many interruptions from multiple calls and inquiries and potentially emotional situations involving accidents, injuries, illness and/or death.
  • Handles emergency/crisis situations in accordance with Hospital policy.
  • Answers phones or pages; may carry a beeper/pager, and/or use a two-way radio.
  • Occasional travel may be required.
  • Potential risk of exposure to hazards from chemicals (toxic and non-toxic), flammable materials, gas or electrical or radiant energy or equipment with/without moving parts.
PHYSICAL DEMANDS:
Key for Physical Demands

Continuous

66 to 100% of the time

Frequent

33 to 65% of the time

Occasional

0 to 32% of the time

Patient Care

  • Continuous standing/walking and occasional/intermittent sitting.
  • Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and shoulder level to handle/operate medical equipment/devices.
  • Frequent reaching above shoulder level and overhead.
  • Frequent forward bending, twisting, squatting and kneeling; occasional climbing.
  • Occasional repositioning and transferring patients weighing up to 200 pounds between bed, chair, and gurney.
  • Occasional lifting and carrying equipment weighing up to 25 pounds.
  • Occasional/intermittent pushing of gurneys, wheelchairs, bed and other medical equipment over tiled and carpeted surfaces.
  • Continuous use of near vision to read medical equipment such as monitoring devices and reading documents and computer screens; hearing and verbal communication to interact with patients, co-workers, and other customers.
Clerical/Administrative Patient Care

  • Frequent sitting and standing/walking with frequent position change.
  • Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.
  • Occasional/intermittent reaching at or above shoulder level.
  • Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing.
  • Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.
  • Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.
Clerical/Administrative Non-Patient Care

  • Frequent/continuous sitting with occasional, intermittent standing/walking.
  • Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.
  • Occasional/intermittent reaching at or above shoulder level.
  • Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting and climbing.
  • Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.
  • Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.
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