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Texas Health and Human Services · 16 hours ago

Workers Compensation Coordinator

El Paso, TX

Contract

Onsite

Mid Level

$4,263.16/mo - $6,779.25/mo

4+ years exp

Texas Health and Human Services is committed to creating a positive impact in the lives of Texans. The Workers Compensation Coordinator is responsible for developing and implementing the hospital's workers' compensation program, ensuring compliance with established procedures and managing claims related to on-the-job injuries.

Health Care

No H1B

Responsibilities

Develops and implements the hospital's workers' compensation program, to include overall coordination of medical and vocational case management, and loss control programs and guidelines

Provides case management activities for employees who are in a Workers’ Compensation claimant status

Serves as the liaison between the injured employee and State Office of Risk Management (SORM)

Communicates and maintains documentation of case notes along with action plans with claimants, department heads, supervisors, medical providers and SORM adjusters as determined by the circumstances of each Workers’ Compensation claim

Ensures required documentation and releases are obtained, completed, and timely submitted to appropriate parties according to state law

Reviews all claims and takes action as appropriate for each claim, ensuring all claims comply with applicable state and federal laws related to workers' compensation

Conducts investigations of incidents resulting in claims by interviewing affected staff, viewing surveillance videos, or other means

Works with SORM adjusters to obtain second opinions and independent medical exams where warranted

Represents the hospital as the employer and attends Benefit Review Conferences and Contested Case Hearings over disputes of compensability

Collaborates with the SORM legal representative and claims adjuster in providing requested documents and testimony as requested

Administers the hospitals Return to Work Program

Oversees the hospitals Return to Work Program by managing employees working with restrictions

Establishes a return-to-work plan for each injured employee

Collaborates with departments within the hospital in locating temporary assignments, coordinating placements, issuing bona fide offers of employment, and monitoring assignments for effectiveness with the goal of transition to full duty

Conducts assessment and analysis of workers' compensation claims to identify risk and loss exposures

Consults and coordinates with Safety Officers to assess risk exposures and develop plans to mitigate risks

Compiles and reports data and identifies trends pertaining to Workers' Compensation claims and expenditures

Maintains databases to include facility injury log, return to work data, lost time data, and ADA accommodations

Prepares reports for leadership regarding workers’ compensation data

Prepares presentations and conducts trainings on workers' compensation issues

Provides guidance and information regarding workers’ compensation and return to work programs to hospital employees

Conducts workers' compensation reviews

Develops, writes, and implements hospital risk management procedures to include Workers' Compensation, Return to Work, and Reasonable Accommodation procedures under the ADA

Conducts program reviews for compliance with state and federal statutes

Qualification

Workers' Compensation ManagementRisk Management ConceptsCase ManagementTraining TechniquesData AnalysisEffective CommunicationOrganizational Skills

Required

Associate degree and a minimum of twenty-four months experience required

No degree and a minimum of four years of experience required

Four Years Of Experience In Processing Workers' Compensation Claims

Four years of experience in returning employees to full or modified duty

Four years of experience in risk management, investigating workplace injuries, or safety programs

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE)

Males between the ages of 18-25 must be registered with the Selective Service

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility

Flexibility in work hours may be required for this position

The position may be required to work overtime and/or extended hours

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required

Preferred

Graduation from an accredited four-year college or university with major course work in business management, public administration, risk management, insurance, occupational safety, or related field is generally preferred

Four years of experience in case management preferred