WorkCare

  • Case Analyst

    Job Locations US-CA-Anaheim
    Job ID
    2019-1215
    # of Openings
    1
    Category
    Other
  • Overview

    As the nation’s largest physician-owned and managed occupational health care company, WorkCare has provided occupational healthcare services to some of the world’s most prominent organizations since 1984.

     

    At WorkCare, we believe health care that harmonizes with your company’s environment and business objective is better care. Our clients benefit from an extensive selection of wellness resources suitable to their individual needs with more than 3,500 clinic providers nationwide and a growing international clinic provider network. Through our comprehensive medical services, we maximize the health and safety of more than 1,000,000 workers per year on a worldwide basis. Our board-certified occupational health physicians are passionate about delivering our mission to improve employee health, productivity and safety through physician managed consulting services, technology-based information systems and customer-focused business models. From preventative programs to primary care, medical surveillance and health management, we have created a standard of excellence that improves quality of life, generates cost-effective care and improves the health care of the workforce.

     

     

    As an integrated health provider, WorkCare is at the forefront of helping employers meet the challenges of managing today’s workforce. WorkCare is owned by a physician who, along with a team of allied credentialed health professionals, provide strategic and tactical consulting services and programs to:

     

    • Improve workforce productivity
    • Enhance employee health
    • Maintain regulatory compliance
    • Mitigate health-cost drivers
    • Advocate positive health behaviors

     

    We encourage employee growth and professional development and believe in the value of life-long learning. Employee input into our business is valued, as we believe that everyone has a unique role to play.

     

    We are currently looking for a Full Time Case Analyst to join our team in Anaheim, CA.

    Responsibilities

     

    The Case Analyst is responsible for processing all aspects of case referrals in accordance with client specific medical management and accommodation services (MMAS) program requirements to determine the best clinical triage path on a case-by-case basis. 

     

    • Retrieve and organize case referral documentation in accordance with client specific medical management and accommodation services program requirements
    • Using critical thinking and judgement, asses the medical information and client referral request to determine the best clinical triage path on a case-by-case basis
    • Process all aspects of the referral to both internal clinical and external subcontracted vendors ensuring compliance with regulatory requirements and client service level agreements
    • Upon completion of case, ensure all reports and case closure system documentation meet quality standards
    • Provide exceptional customer service by exhibiting a high sense of urgency, exceptional follow up/follow through and positive communications, both verbally and in writing
    • Ensure the accuracy, completeness, and conformance to the workflow process before moving case to the next level
    • Demonstrate attention to details as well as thoroughly reviewing documentation through all applicable systems 
    • Identify issues and concerns as they arise and bring them forward to the supervisor to develop a plan for resolution
    • Attend conference calls/meetings as needed
    • Meet deadlines and company goals
    • Assist with meeting presentations and reports
    • Performs additional duties and assumes additional responsibilities as identified by the director for the efficient operation of the MMAS Department

    Qualifications

    • High school diploma or general education degree (GED) required, associate’s degree or Medical Office Assistant certification preferred
    • At least one year of relevant experience
    • Experience in medical management and/or a healthcare setting that supports requests for work accommodations, return-to-work/stay-at-work coordination, disability management or leave of absence certification
    • Basic knowledge of medical terminology
    • Demonstrated proficiency in working with others
    • Demonstrated ability to collaborate with peers and others to achieve common goals
    • Strong organizational, problem-solving, and analytical skills. Must have the ability to think and write analytically
    • Ability to manage priorities and workflow.  Ability to maintain thoroughness and accuracy while meeting deadlines
    • Must be able to engage in extensive telephonic communications and be able to articulate ideas and policies in an easy to understand manner both telephonically and in person.
    • Ability to work independently
    • Excellent judgment with the ability to make timely and sound decisions
    • Positive, professional manner 
    • Ability to maintain confidentiality
    • Excellent written and verbal skills
    • Proficient in Microsoft Office
      • Computer operating and data management skills
    • Willing to adjust to varying work schedules
    • Ability to work in a high production environment with daily deadlines
    • May require 2-4 weeks of training and orientation out-of-state at client’s request

     

    EOE/M/F/D/V

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