- Wenatchee, Washington
- Mission Street Plaza
- Professional and Technical
- Occupational Medicine
- Day
- 8
- Full-Time
- Non-Union
- HSC12702
- USD $27.96/Hr.
- USD $43.72/Hr.
- 80.00
- 15193
Job Description
Salary Range
$27.96 - $43.72
Overview
Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.
Employees of Confluence Health receive a wide range of benefits in addition to compensation.
- Medical, Dental & Vision Insurance
- Flexible Spending Accounts & Health Saving Accounts
- CH Wellness Program
- Paid Time Off
- Generous Retirement Plans
- Life Insurance
- Long-Term Disability
- Gym Membership Discount
- Tuition Reimbursement
- Employee Assistance Program
- Adoption Assistance
- Shift Differential
For more information on our Benefits & Perks, click here!
Summary
The Health Services Coordinator (HSC) plays a crucial role at the Center of Occupational Health and Education (COHE) by monitoring claim caseloads to identify injured workers at risk of long-term disability and who coordinates care for those workers and facilitates communication between the worker, provider, employer, union (when applicable), and claims manager.
The HSC will help support claim coverage by monitoring claims, coordinating care, and facilitating communication. They manage a caseload of claims from an assigned territory of providers as determined by the COHE program manager and program director. Claim coordination activities include ensuring forms are received and complete; contacting injured workers, employers, providers, L and I staff, and other stakeholders to assist in the return-to-work process; and identifying return-to-work barriers and resources for resolution. In addition, the Health Services Coordinator will provide community outreach and organizing of provider volume and credentialing. This work can be done independent of the Program Manager and can bill at 100% of rate versus 90% that can be billed by an HSCA.
This position reports to the COHE program manager, with the opportunity for hybrid work (onsite and home) once fully trained as determined by the COHE program manager and director.
Essential Functions
- Coordinate and process health care provider applications and related verifications required for their enrollment in the COHE program, including clinic and facility leadership.
- Communicate to keep health care providers and facility staff informed of their application status and reaches out to them to gather all required information. Acts proactively to get new health care providers processed and to record any changes in personnel or contact information at participating health care organizations.
- Acts as resource to assist in referring patients to appropriate providers throughout the region.
- Health Service Coordinator billable activities include: Initial and follow up contact to physician, employer and/or injured worker once claim initiated for clarification of return-to-work program, light duty availability, transitional work plans, and to provide resource to inquiries about COHE. Billed activities will be reimbursed at 100% of the value of claims work.
- Establish relationships with health care providers participating in the COHE.
- Delivers professional presentations for appropriate groups promoting participation and/or support for the COHE.
- Triage and respond to questions from all customers. Documents necessary information in EMR and communicates to claim, regardless of billable status.
- Promotes a positive, calm, and effective work environment throughout the unit that contributes to staff recruitment and retention. Provides input for the performance appraisals of other staff members. Orients staff members when requested. Demonstrates an awareness of self-responsibility and accountability for the job at hand by utilizing worked hours efficiently.
- Attends all in-service education programs mandated by Confluence Health, state, and federal regulations. Conducts or assists with at least one in-service per year. Pursues educational activities to maintain a current level of knowledge and competency.
- Promotes a positive, calm, and effective work environment throughout the unit that contributes to staff recruitment and retention. Completes performance appraisals of staff members reporting to them. Orients staff members when requested. Demonstrates an awareness of self-responsibility and accountability for the job at hand by utilizing worked hours efficiently.
- Demonstrates commitment to continuous quality improvement in all job responsibilities. Participates in performance improvement activities. Contributes and participates in program development. Facilitates accomplishment of departmental goals.
- Performs other duties as assigned.
Demonstrate standards of behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications
Required:
- Bachelor's Degree or three years’ experience in direct patient care, return-to-work coordination, occupational health care, or equivalent.
- Direct patient care experience must primarily include collaborating with attending providers to develop, implement, or maintain treatment plans. Direct patient care experience should include experience building and implementing plans to assist patients in:
- Setting and monitoring goals
- Monitoring ongoing recovery, and
- Identifying and addressing barriers and mitigations.
- Examples may include: nurse, medical assistant, vocational rehabilitation
- counselors, or claim manager.
- Direct patient care does not include referral coordinators, schedulers, clinical administrative staff, or ancillary services (examples: diagnostic care).
- Able to obtain and maintain an L&I Provider ID, and bill HSC services. No reported issues with Labor and Industries.
- Oral and written communication with health care professionals, patients, employers, and insurance staff and resources.
- Data management and tracking.
- Completing care coordination or similar documentation.
- Analyzing and communication provider, care coordinator, and best practice reporting data.
- Computer skills with proficiency in Word, Excel, and PowerPoint.
- Must successfully complete L&I required training and/or testing within 90 to 180 days.
- Must have valid driver’s license and acceptable driving record as this position will require the use of personal or rental vehicle. Expect occasional travel of up to 300 miles (round trip) or less; and occasional overnight stay(s).
Desired:
- HSCA or HSC experience.
- Experience or certification as a vocational counselor, nurse case manager, accredited case manager working with injured workers in an industrial insurance system or health care setting, or equivalent certification or experience in a health care setting such as a physical therapist or occupational therapist.
- Bilingual English/Spanish with ability to pass a bilingual fluency/skills test with a chosen CH vendor.
Physical/Sensory Demands
O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.
Physical/Sensory Demands For This Position:
- Walking - O
- Sitting/Standing - F
- Reaching: Shoulder Height - O
- Reaching: Above shoulder height - O
- Reaching: Below shoulder height - O
- Climbing - O
- Pulling/Pushing: 25 pounds or less - O
- Pulling/Pushing: 25 pounds to 50 pounds - O
- Pulling/Pushing: Over 50 pounds - O
- Lifting: 25 pounds or less - O
- Lifting: 25 pounds to 50 pounds - O
- Lifting: Over 50 pounds - O
- Carrying: 25 pounds or less - O
- Carrying: 25 pounds to 50 pounds - O
- Carrying: Over 50 pounds - O
- Crawling/Kneeling - O
- Bending/Stooping/Crouching - O
- Twisting/Turning - O
- Repetitive Movement - O
Working Conditions:
- May operate computer for extended periods of time. Finger and hand dexterity to adequately handle/manipulate equipment and adequate hearing and visual acuity. Communicate extensively via telephone, face-to-face, e-mail, and fax. May sit for extended periods of time. Work with frequent interruptions. Blood borne Pathogens Category- Level III.
Job Classification:
- FLSA: Non-Exempt
- Hourly/Salary:Hourly
Physical Exposures For This Position:
- Unprotected Heights - No
- Heat - No
- Cold - No
- Mechanical Hazards - No
- Hazardous Substances - No
- Blood Borne Pathogens Exposure Potential - No
- Lighting - No
- Noise - Yes
- Ionizing/Non-Ionizing Radiation - No
- Infectious Diseases - No
Read Full Description