Job Information
Sedgwick Vocational Rehab Coordinator in Cincinnati, Ohio
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.
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Vocational Rehab Coordinator
PRIMARY PURPOSE : To communicate, coordinate, and manage medical and vocational case management activities to ensure all CompManagement Health Systems (CHS) and Bureau of Workers Compensation (BWC) performance standards are fulfilled efficiently and in a cost effective and quality manner.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Completes all vocational rehabilitation processing of referrals, reports, plans and closures per Sedgwick/BWC policy.
Conducts all staffing and communications of current injured worker status with BWC, employer, vocational rehabilitation case managers (VRCM) and service plan providers.
Communicates with injured workers regarding their eligibility, the referral process, the role of the VRCM, verification of approved plan services and closure/appeal rights for BWC policy.
Provides assistance to other Sedgwick departments with respect to the injured worker's vocational rehabilitation services.
Conducts pre-plan staffing with VRCM and disability management coordinator (DMC).
In conjunction with employers and all necessary claim parties, identifies vocational rehabilitation services, treatment, and claim benefit options that serve the objective of returning the injured worker to work or bring about claim resolution.
Understands the most current version of Chapter 4 of the MCO Policy Reference Guide and assures that those guidelines are applied in plan development with an authorization.
Reviews and addresses plans to assure that services requested by VRCM are ethical, efficient, return-to-work (RTW) focused, and comply with Chapter 4 of the MCO Policy Reference Guide.
Identifies gaps in services and facilitates communication to address the plan accordingly.
Completes all disability management functions while managing the claim file.
Assists other Vocational Rehabilitation colleagues as needed.
Assists with reports to management as needed.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required.
Experience
One (1) year workers compensation, vocational rehabilitation, or medical experience or equivalent combination of education and experience required.
Skills and Knowledge
Knowledge of vocational rehabilitation, medical or workers compensation claims procedures and state legal and regulatory requirements
Good customer service skills
Good oral and written communication skills
PC literate, including Microsoft Office products
Excellent interpersonal skills
Good organizational and time management skills
Good problem solving skills
Good analytical skills
Ability to manage multiple and changing priorities
Ability to work in a team environment or independently with little supervision
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical : Computer keyboarding, travel as required
Auditory/Visual : Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Taking care of people is at the heart of everything we do. Caring counts
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)