Injury Care Coordinator- ED Program

Overview

The Coordinator, Emergency Department Program affects and assures the outcome of work-related injuries by communicating specific information from associated hospital Emergency Department to employers, patients, and treating physicians, facilitating appointment compliance, communication of work restrictions and billing information, to assist the injured worker with returning to work as soon as medically appropriate.

Responsibilities

• Establishes and facilitates cooperative relationship with other team members, client companies and hospital/physicians/physician representatives
• Retrieves Emergency Department (ED) reports from assigned emergency rooms
• Creates ticket for all patient paperwork received for each hospital system
• Documents patient demographics, employer demographics, diagnosis, works status, workers' compensation carrier, and referral information
• Reviews and analyzes initial injury reports from the ED. Ensures all required information is captured and works with ER to obtain any missing information
• Determines type of injury, work status and if any additional appointments are required
• Verify employer information on file in Occusource
• Notifies patient, and employee of the information included in the ER discharge file. Including activity status, diagnosis, and referral information
• Ensures client has all follow up paperwork if requested
• Assists with scheduling internal appointments
• Authorization if appropriate; and notifies provider, employer, and patient if applicable
• Communicates to the ER Billing Contacts any updates to Workers Comp Carrier information daily
• Once a week will generate a Billing Status Report to send to the ER Billing Contacts
• Communicate with Concentra markets when there are paperwork issues with a particular hospital system
• Run report to reconcile patient referrals to Concentra visits
• Close tickets in Solution Center once they are validated
• Generates the ED Program National Report each month to be shared with Leadership
• Create individual Emergency Room reports to present on monthly/quarterly calls to ER stakeholders
• Keep Hospital Profile document update to date with current contacts
• Participate in calls with local leadership, and hospital contacts to review reports and discuss areas of opportunities

Qualifications

• Education Level: High School Diploma or GED
• Customarily at least one of year demonstrated experience in a medical setting/field
• Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
• The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
• Ability to creatively think with effective interpersonal, communication and people skills
• Demonstrated effective communication and interaction with employers, patients, providers and other employees
• Customer service and client satisfaction focus
• Demonstrated excellent customer service skills
• Basic understanding of worker's compensation and medical terminology
• Proficient in data entry and word processing; spreadsheets and skilled in the use of general office equipment