Lead Case Management Analyst - Los Angeles

Company: Amtrak
Location: Los Angeles
Posted on: September 25, 2022

Job Description:

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Amtrak connects businesses and communities across the country and we move America's workforce toward the future. We employ more than 20,000 diverse, energetic professionals in a variety of career fields throughout the United States. The safety of our passengers, our employees, the public and our operating environment is our priority and the success of our railroad is the result of our employees.

Are you ready to join our team?Our values of Do the Right Thing, Excel Together and Put Customers First are at the heart of what matters most to us, and our Core Capabilities, Building Trust, Accountability, Effective Communication, Customer Focus, and Proactive Safety & Security are what every employee needs to know and do to be most impactful at Amtrak.SUMMARY OF DUTIES:
This role provides active management of Amtrak injured workers from the day of injury through their return to work at Amtrak. This role is the point of contact for the injured worker, the manager, and the medical management team (vendor) and to ensure any one returning to work has the appropriate medical evaluation and clearances or to refer inconsistencies to Sr Manager or Medical Director. This role identifies transitional duty for Amtrak injured workers so that they can return to productive paid employment as they recover from their on-duty-injuries and refers those who are not able to return to their positions to the ADA process.
ESSENTIAL FUNCTIONS:

• Performs case management for injured workers. Reviews all medical documentation to ensure the employee has been medically released to return to his or her position by the treating doctor without restrictions. Escalates any concerns about fitness for duty to the Corporate Medical Director. Once the CM/SCM has the reviewed the release, they will send the request for the RTW drug tests to the Return to work coordinator. Works with the injured workers, the supervisor, the external medical management vendor and treating health care providers to identify when an injured employee may return to work and to facilitate transitional duty where appropriate. Ensures uniform implementation of RCD1 policies and processes and adherence to HR policies as it relates to leave and return to work.
• Identifies Transitional Duty assignments where appropriate: Uses clinical knowledge and/or experience to anticipate eligibility for transitional duty (e.g. return to usual position within 90 days). Uses knowledge of Amtrak positions to identify possible alternate work opportunities. Works with supervisors and labor organizations to develop transitional duty assignments within Amtrak, and where possible, with non-profit organizations, for employees who have physical restrictions but are expected to return to duty at their own position within 90 days.
• Ensures effective communication about injured worker status with appropriate parties: Provides anticipatory guidance to managers and Claim adjustor on duration of employee absence and return to work. Monitors the injured worker's progress towards maximum medical improvement and performance at transitional duty assignments and coordinated return to full duty with medical providers, supervisors, Amtrak Medical Services and the injured worker. If the injured worker is not able to participate in a transitional duty assignment, the CMS/SCMS ensures the employee has been released with no restrictions prior to returning to his or her position. -
• Customer Outreach: Conduct continuous educational training programs with management and their staff to ensure a complete understanding of and support for the program in the field. Assist managers/supervisors in identifying potential transitional duty assignments before the need arises through site visits and consultations.
• Drives Process Improvements : Develops improvements in case management processes within Amtrak and with the medical management vendor to generate efficiencies, cost savings, and/or improvements in the care of the injured worker, i.e. auditing. Review the Provider Manual distributed to treating providers for updates. Participates in regular meetings with the medical management vendor. Represents RCD1 in process improvement activities with other Amtrak partners (e.g. Claims, System Safety, Leave Management as examples).MINIMUM QUALIFICATIONS:
  • Case Manager role (Currently called RCD1 sr Case specialist)
  • Registered Nurse or degree in vocational rehabilitation, health science or equivalent experience.
  • 5+ years working with injured workers in a medical office or handling injured workers claims in an insurance environment
  • Senior Case Manager Role; (new-want the C4 ladder for higher SME/experience)
  • Bachelors degree in nursing, vocational rehabilitation, health sciences or equivalent experience.
  • 10 + years of related occupational health experience, case management experience, experience with Workers Compensation/FELA or non-occupational disability programs
  • Certification in occupational health nursing (COHN), Case Management (CCM),
  • Ability to work with union representatives, supervisors/managers, and external agencies to identify transitional duty options for injured workers.
  • Ability to build relationships with customers in the field.
  • Familiarity with medical terminology and conditions
  • Familiarity with physical demands of Amtrak occupations
  • Excellent written and verbal skills. Ability to communicate professionally and effectively with all levels of management and agreement employees.
    PREFERRED QUALIFICATIONS:
    • 10 plus years of related occupational health experience, case management experience
    • Experience in Workers Compensation, FELA, or non-occupational disability management
    • Experience with railroad operations
    • COHN with Certification in medical case management
    • Travel expectations 15% to visit work environments, conduct customer outreach.COMMUNICATIONS AND INTERPERSONAL SKILLS:
      • Must have excellent oral and written communication skills. This position is a tiered position. Incumbents will have a position level assigned based on their skills and experience, and in alignment with position development plans. Position placement is at Amtrak's sole and absolute discretion. Requisition ID: 113081
        Posting Location(s): California
        Job Family/Function: Human Capital
        Relocation Offered: No
        Travel Requirements: Up to 25%
        
        Amtrak employees power our progress through their performance.
        We want your work at Amtrak to be more than a job - we want it to be a fulfilling experience where you find challenging and rewarding opportunities, respect among colleagues, competitive pay, benefits that protect you and your family and a high performance culture that recognizes and values your contributions and helps you reach your career goals.
        All positions require pre-employment background check verification, a pre-employment drug screen and proof of full vaccination against COVID -19. Amtrak is committed to a safe workplace free of drugs and alcohol and performs pre-employment substance abuse testing. Marijuana, notwithstanding any statute, ordinance, regulation, or other law that legalizes or decriminalizes the use or possession of marijuana, whether for medical, recreational, or other use. Candidates who engage in the usage of marijuana will not be qualified for hire. Successful applicants for employment with Amtrak must be fully vaccinated against COVID-19 by the date of hire as a condition of employment, subject to requests for accommodation. Fully vaccinated means 14 days have elapsed since receiving the second dose of the Pfizer or Moderna vaccine or 14 days since receiving the Johnson & Johnson vaccine.
        In accordance with DOT regulations (49 CFR - 40.25), Amtrak is required to obtain prior drug and alcohol testing records for applicants/employees intending to perform safety-sensitive duties for covered Department of Transportation positions. If an applicant/employee refuses to provide written consent for Amtrak to obtain these records, the individual will not be permitted to perform safety-sensitive functions.
        Note that any education requirement listed above may be deemed satisfied if you have an equivalent combination of education, training and experience.
        Amtrak is an EOE/Affirmative Action Minority/Female employer, and we welcome all to apply. We consider candidates regardless of race/color, religion, sex (including pregnancy, childbirth and related conditions), national origin/ethnicity, age, disability (intellectual, mental and physical), veteran status, marital status, ancestry, sexual orientation, gender identity and gender expression, genetic information, citizenship or any other personal characteristics protected by law.
        
        POSTING NOTES: Human Capital -- Corporate Jobs

Keywords: Amtrak, Los Angeles , Lead Case Management Analyst - Los Angeles, Executive , Los Angeles, California