Workers Comp Specialist

Founded as a faith-based hospital in 1931 by the Sisters of Charity of the Incarnate Word, Dignity Health – St. Bernardine Medical Center is a 342-bed, acute care, nonprofit hospital located in San Bernardino, California. The hospital offers a full complement of services, including the Inland Empire Heart and Vascular Institute, an award-winning orthopedics program, surgical weight loss, and is an official Neurovascular Stroke Center, as designated by ICEMA. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/stbernardinemedical for more information.

One Community. One Mission. One California 

We are seeking a highly skilled and compassionate Workers' Compensation Specialist to join our team at Dignity Health St. Bernardine Medical Center. This role coordinates the operations of the Workers' Compensation program, utilizing case management methods to facilitate employees' return to maximum health and work with minimal lost time. You will administer documentation in cooperation with the Third Party Administrator (TPA) and Occupational Safety and Health Administration (OSHA), providing coordination, planning, development, evaluation, and monitoring of the Workers' Compensation and Return to Work (RTW) programs.

As a Workers' Compensation Specialist, you will use a problem-solving process that includes assessment, problem identification, goal definition, plan development, evaluation, and revision to achieve optimal employee outcomes for work-related injuries. You will work with injured employees, the Administrator for the Self-Insured Trust, medical service providers, and employer designates. This role requires a full understanding and active participation in fulfilling the Mission of Dignity Health St. Bernardine Medical Center and demonstrating behavior consistent with our Core Values. You will support the hospital's strategic plan and the goals and direction of quality improvement and process improvement activities.

• Will act as a liaison between employees, management, and the Workers' Compensation administrator.
• Will oversee the initiation of Workers' Compensation claims
• Conduct timely investigations of work-related injury claims
• Coordinate Root Cause Analysis (RCA) to solicit action from management regarding injury prevention.
• Will manage the progress of claims with the Workers' Compensation administrator, Employee Health, physicians, and SBMC management, promoting a healthy and safe work environment through in-service training and participation in committees addressing work-related injuries and safety.
• Will manage the Transitional Duty Program
• Will facilitate effective communication between care team members and injured employees
• Coordinate Representative Job Analysis (RJA) and Modified/Alternative review
• Ensure facility compliance with corporate and regulatory agency Workers' Compensation measures and standards.
• Attention to detail is crucial in this role, as is providing relief in the Employee Health and Infection Control departments as needed.

Join us in making a positive impact on the health and well-being of our employees by ensuring they receive the best care and support throughout their recovery and return to work.

Experience & Education 

• Two (2) years of recent experience as a Worker's Compensation Case Manager in healthcare, is required.
• Bachelor's Degree or equivalent combination of education and experience.
• Knowledge of treatment modalities for workers comp related injuries.
• Knowledge of California Workers Comp regulations/ OSHA regulations
• Ability to work effectively with other clinical professionals and the Medical Staff.
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