Workers Comp Liaison (BMG) - Beacon Health System

Reports to a Director/Executive Director of the Beacon Medical Group. The project leader will be responsible for developing the worker's compensation program by streamlining processes across BMG and the hospitals. The leader will liaise with the occupational health and the BMG offices to improve efficiency and access to care. This project leader will also be responsible to build relationships with employers in our community to increase BMG worker's compensation external volume of referrals. The project leader will also keep administration abreast on referral trends and variances in care along with changes in legislation and standards of care within the worker's compensation arena. MISSION, VALUES and SERVICE GOALS

• MISSION: We deliver outstanding care, inspire health, and connect with heart.
• VALUES: Trust. Respect. Integrity. Compassion.
• SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Leads and coordinates Workers Compensation program to achieve strategic alignment with divisional and overall Beacon goals to grow volume, value and revenue through development of business plans and opportunities by:

• Identifying, conceiving and driving project and resource priorities that align with corporate goals and strategies. Developing and executing plans to improve existing performance.
• Defining worker's compensation goals and deliverables that support business goals in collaboration with executive leadership and stakeholders.
• Reviewing worker's compensation policy and procedures to assure compliance with federal regulations, departmental guidelines or funding requirements.
• Developing, evaluating and implementing policies or procedures to ensure implementation and maintain a robust worker's compensation program.
• Acting as a liaison between departments, sites and/or agencies to facilitate work flow.
• Prospectively identifies and escalates potential issues, barriers/risks or obstacles and either achieves resolution or plans contingencies.
• Promoting leadership through collaboration, cooperation and communication across functions and partners. Resolving conflicts by demonstrating leadership and appropriate decision-making competencies.
• Demonstrating project control internally through measurement, assessment, planning and reporting of key outcome measures (metrics).
• Forecasting worker's compensation activity and tracking finances with regards to the annual budget.
• Serving as a point of contact for employers, BOH, and BMG offices. Facilitate return to work documentation, activity restrictions and evaluation for PPI/MMI ratings.
• Working with nurse case managers regarding timelines for follow up appointments, and referrals to additional providers.

Create and maintains accurate project plans for assigned projects to keep projects on schedule. Maintains accountability for projects and scope of management by:

• Creating project steps/tasks, determining and securing necessary resources, developing and updating timelines, tracking project progress.
• Ensuring regular communications regarding project updates to involved parties on project goals, objectives, plans, priorities, financials, schedules, issues, risks and metrics.
• Preparing project and program documentation and plans.
• Identifying resources and preparing and identifying project budgets and managing projects within budget.
• Guiding the development of policies and procedures as necessary. Facilitating the documentation.
• Advises director and executive director of trending worker's compensation laws and initiatives.
• Serving as the liaison for Beacon Occupational Health (BOH), BMG practices, Employers, Case Managers to build operational processes essential for efficient provision of Workers Comp program. Develop and cultivate relationships to ensure program success
• Identifying and resolving any Workers Comp operational gaps that may negatively impact timeliness of patient care
• Develop reporting/tracking tools and reports for referrals to measure success/growth of the Workers Comp program
• Facilitating proper clinical (E.H.R.) documentation by educating providers regarding necessary elements to include in the patient's medical record.
• Assisting managers in implementation of a standardized worker's compensation operation at the office level.
• Participating in the development, recommendation and implementation of administrative policies, procedures, quality plans (including standards) and operational strategies.
• Assisting the Director/Executive Director with bringing on new site locations and/or new Providers who will participate in the provision of Workers Comp services.
• Driving improvement efforts through evidence based quality data, and measurement of program.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

• Maintaining current knowledge of processes, procedures, current developments in clinical and patient care areas and an awareness of governmental, economic and legal factors.
• Developing and maintaining positive working relationships with other Beacon Health System departments.
• Maintaining records, reports and files as required by policy, procedures and governments regulations.
• Monitoring new trends and development within the industry.
• Completing other job-related assignments and special projects as directed.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and continuously.

Education and Experience

The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a Bachelor's Degree in Business, Public Health, or a healthcare related field. Master's Degree preferred. A minimum of 3 years of worker's compensation experience required. Must have strong project management skills.

Knowledge & Skills

• Demonstrates well-developed leadership skills and the creativity necessary to organize, develop and provide administrative leadership for project and program effectiveness.
• Demonstrates expert administrative operational knowledge, inspirational leadership and positive conflict resolution.
• Requires business development or complex business project management experience.
• Requires the ability to navigate and work in a dynamic, fast paced and often changing high growth environment.
• Requires the high-level analytical skills necessary to plan, control and direct activities and resources related to planning, scheduling and to evaluate program goals, objectives and outcomes.
• Requires critical thinking, decision making, negotiation, creativity, and problem-solving skills and consensus-building skills.
• Must be detail and process oriented.
• Demonstrates the communication skills, both verbal and written, to interact effectively. Requires well-developed public speaking skills.
• Demonstrates strong interpersonal skills as reflected by the ability to build relationships and successfully interact tactfully and effectively with colleagues at all levels of the organization and with external constituencies and elicit cooperation and support.
• Requires working knowledge of worker's compensation clinical care practices, procedures and techniques required to meet targeted patient population.

Working Conditions

• Works in an office environment.
• May be required to travel to off-site locations.

Physical Demands

• Requires the physical ability and stamina to perform the essential functions of the position.

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