Emory Healthcare · 18 hours ago
Senior Manager Workers Compensation / RN
Atlanta, GA
Full-time
Hybrid
Senior Level
5+ years expEmory Healthcare is a leading healthcare provider seeking a Senior Manager for Workers Compensation. This role is responsible for overseeing the Workers' Compensation programs, ensuring compliance with regulations while promoting injury prevention and effective case management for injured employees.
Health CareMedical
Responsibilities
Lead and manage the Workers' Compensation programs for Emory Healthcare and Emory University, ensuring alignment with organizational objectives and regulatory requirements
Provide subject matter expertise on the strategic management of medico-legal claims and complex case scenarios
Assess, implement, and monitor program options and services to meet employee health needs while promoting quality and cost-effective outcomes
Develop, implement, and evaluate collaborative clinical pathways and case management models to enhance program efficiency and effectiveness
Partner with senior leaders and stakeholders to identify opportunities for continuous improvement and risk mitigation
Oversee case management for prolonged, complex, or litigated workers' compensation claims to facilitate appropriate care and timely return-to-work
Partner with supervisors and department leaders to identify, implement, and promote return-to-work strategies aligned with State Board of Workers' Compensation and industry best practices
Coordinate care and services with nurse case managers, advanced practice providers, third-party administrators, and external healthcare providers
Monitor claim progression and outcomes to ensure adherence to clinical, legal, and operational standards
Support accident investigations through root cause analysis and implementation of corrective actions to prevent recurrence
Serve as the primary point of contact for State Board of Workers' Compensation communications, including stipulations, notices, and reporting requirements
Collaborate with Environmental Health and Safety (EHSO) and Quality teams on OSHA log reconciliation, posting, and compliance activities
Review and maintain compliance with state and federal workers' compensation laws, OSHA regulations, and internal policies
Conduct annual reviews of the Panel of Providers and make recommendations to ensure regulatory compliance and operational alignment
Facilitate periodic meetings with Panel Providers to ensure adherence to reporting, documentation, and process requirements
Manage third-party vendor relationships, including TPAs, PBMs, legal partners, and field case management services, ensuring service level agreements and performance guarantees are met
Review, interpret, and analyze metrics and reports provided by business partners, including monthly expenditure and utilization reports
Share performance, trend, and budget data with the Director and applicable internal stakeholders to support informed decision-making
Monitor program expenditures to ensure adherence to approved budgets and financial targets
Identify opportunities to improve vendor performance, cost containment, and service quality
Supervise, mentor, and develop nurse case managers, workers’ compensation professionals, and advanced practice providers
Develop, implement, and evaluate staff performance using defined key performance indicators and competency standards
Manage day-to-day staffing operations, including training, hiring, performance evaluations, and quality improvement initiatives
Collaborate with Human Resources, Operations, EHSO, and other partners to design and implement programs supporting injury prevention and employee health
Contribute expertise to the development of controls and surveillance strategies addressing actual and potential workplace hazards
Qualification
Required
Bachelor's degree in nursing from an accredited school of nursing
Active, unincumbered RN license from the State of Georgia or an active and unencumbered RN license that meets eligibility requirements to practice in the State of Georgia
Five (5) years of occupational health experience including two (2) years of healthcare leadership experience or ten (10) years of clinical nursing experience
Certified Occupational Health Nurse designation (COHN) upon hire or obtain designation within 3 years of hire
Current knowledge of laws and regulations governing worker and worksite health and safety, including OSHA, workers' compensation, ADA & FMLA
Proficient knowledge of the regulations set by the Georgia State Board of Workers' Compensation
Preferred
MSN or MPH degree
Medico-Legal Experience related to workers' compensation and claims management
Occupational Health experience in healthcare setting
Benefits
Comprehensive health benefits that start day 1
Student Loan Repayment Assistance & Reimbursement Programs
Family-focused benefits
Wellness incentives
Ongoing mentorship, development, and leadership programs
And more
Company
Emory Healthcare
Emory Healthcare is the largest healthcare system in the state of Georgia., United States.
10001+ employees
H1B Sponsorship
Emory Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (48)
2024 (68)
2023 (30)
2022 (25)
2021 (12)
2020 (7)
Funding
Current Stage
Late StageLeadership Team
Jennifer Schuck
Chief Executive Officer
Joon S Lee MD
Chief Executive Officer
Recent News
2025-09-01
Company data provided by crunchbase