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Lead Case Manager, OIM

Company: Emory Healthcare
Location: Decatur
Posted on: May 11, 2019

Job Description:

Description JOB DESCRIPTION: Assesses implements, coordinates and monitors options and services to meet health needs of employees using communication and available resources to promote quality, cost effective outcomes. Works in collaboration with other healthcare providers, third-party administrators, legal advisors, and regulatory agencies for program management and development; provides leadership in the development, implementation and evaluation of the collaborative clinical pathway process. Integrates the philosophy, goals, and objectives of total quality management into the process. Assists with accident investigation to identify root cause analysis of reported work accidents and proactively implements correction action to address & remedy the identified hazard or action. Provides case management of prolonged or complex claims to facilitate appropriate level of care and return to work. Collaborates with outside resources for program management and development, i.e. healthcare providers, third-party administrators, legal advisors, and regulatory agencies. Collaborates with departments in identifying, evaluating, and implementing accommodations for return to work options for injured workers. Assists and mentors nurse case managers and nurse practitioners with application of pertinent laws regulating workers compensation and provision of care. Collaborate with Environmental Health and Safety, Operations, and Human Resources to develop operations, programs, and services by providing content expertise. Contribute in the design of controls for injury prevention and health surveillance related to actual and potential hazards in the work environment. Responsible for day to day management of case management team. Assists director with departmental aspects of staffing, training, processes, customer service and quality improvement. MINIMUM QUALIFICATIONS: Graduate of an accredited nursing school. Five years of clinical nursing experience. Seven years of occupational health experience. All nurses employed in roles requiring an unencumbered nursing license must have a valid, active license or temporary permit approved by the Georgia Licensing Board.SDL2017

Keywords: Emory Healthcare, Decatur , Lead Case Manager, OIM, Executive , Decatur, Illinois

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