Job Summary:

The Workers' Compensation Specialist serves as the direct point of contact for all internal and external workers' compensation related issues.

Essential Functions:

• Responds to employer, carrier, and claims handler requests within 24 hours
• Acquires treatment authorization for workers compensation employees/patients
• Monitors clinical efficiency and reports suggestions/situations to appropriate parties
• Assists with the coordination of special events and programs including annual claims reviews and stewardship meetings
• Assists in the management of client/system relationship between the Department and key stakeholders in the affiliate; assumes responsibility for establishing/maintaining rapport with key employers, insurance companies and other business entities as appropriate
• Utilizing EMR, ensures that workers' compensation quick notes/work status forms are prepared by clinicians and is responsible for sending to employers/supervisors/claim handlers within 24 hours; reports noncompliance to team leader/director as appropriate
• Acts as the departments key liaison to all workers' compensation partners including the third party administrator, broker, Human Resources, and hospital department directors/supervisors
• Functions as the liaison between Corporate Care/EHS and HR for all work related injuries and employee return to work clearances; responsible for maintaining data in Agility for quarterly DART reports, and preparing/distributing annual OSHA logs and monthly reports including Safety, Safe Patient Handling, Infection Control and PIC
• Responsible for managing claims in Agility and ensuring all proper documentation is scanned to employee charts; reviews, updates and distributes weekly claims review logs to TPA, clinicians, Directors and senior leadership as directed
• Performs other duties as required

Job Requirements:

• High School Diploma; Associates Degree preferred
• Prior workers' compensation experience required
• Candidate must be detail oriented and conscientious, possess strong computer skills, possess general office skills such as answering phones, copying, and filing
• Candidate must possess effective verbal and written communication skills, ability to independently manage/prioritize multiple highly time-sensitive assignments, and strong attention to detail

Schedule: Monday - Friday 8:00am 4:30pm OR 8:30am 5:00pm

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Cooperman Barnabas Medical Center in Livingston; three acute care children s hospitals and a leading pediatric rehabilitation hospital (Children s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization.

RWJBarnabas Health Medical Group is a multi-specialty group practice comprised of highly trained and experienced world-class primary and specialty care physicians. RWJBarnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of RWJBarnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

We offer a great work environment, competitive rates and excellent benefits, including:

• Medical/Dental/Vision plans
• 401 (k)
• PTO
• Short & Long Term Disability
• Basic Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts