Field Case Manager -Workers Compensation

Southern Company is a leading producer of clean, safe, reliable and affordable energy, and we approach each day as a vital step in building the future of energy. At Southern Company we are always looking ahead, and our innovations in the industry—from new nuclear to deployment of electric transportation and renewables —help brighten the lives and businesses of millions of customers nationwide.

Summary

Manage occupational and non-occupational medical issues of employees to resolution in a manner which provides appropriate medical care and is expedient, efficient, cost effective and consistent with Safety & Health goals and values. Work closely with Medical and Health Management Team members, health care professionals, corporate legal counsel, company HR representatives and company management in Southern Company.

 Job Requirements 

• Bachelor's degree in nursing or healthcare related field required.
• RN (active license in state of practice) required
• Master's degree in Health Science, Rehabilitation Counseling or related field preferred.
• Minimum of 4 years worker's compensation case management or occupational medicine experience.
• Ideal candidate will have work experience in medical surgical, ER, or ICU.
• Must be available for "24x7 on call" assistance up to 1 week per month.
• Candidates must be available for storm duty assignments, which may require extended periods away from home for two weeks or longer.
• Candidates must possess an active Certified Case Manager (CCM) or Certified Occupational Health Nurse (COHN) certification, or be willing to obtain the certification within the first year of employment.
• Working knowledge of medical management practices, and professional code of conduct, Georgia Workers Compensation laws, Family Medical Leave Act regulations, Americans with Disability Act Amendment Act, 1973 Rehabilitation Act-Section 503, medical privacy regulations and Human Resources Management practices.
• Ability to interpret and apply medical related benefit policies and plans.
• Ability to work with minimal supervision and work direction.
• Ability to manage time, priorities and professional relationships effectively and efficiently.
• Strong clinical assessment and medical treatment skills.
• Excellent oral and written communication and customer service skills.
• Occupational Medicine Case Management experience, Certified Case Management accreditation, and/or Certification as Occupational Health Nurse Specialist.
• Ability to work away from home for extended periods (up to 2 weeks) during emergency storm restoration duty.
• Available for daily travel within the service territory.
• Must have experience working with Microsoft Office products
• Maintain confidentiality.

Job Responsibilities

• Provide medical assessment of on-the-job injuries prior to transport to a care facility.
• Coordinate activities related to medical management of injury/illness cases under the guidance of corporate medical directors.
• Coordination with Workers Compensation department: including investigation, compensability determination, company defense, and approval of medical treatment and payment.
• Coordinate the accommodation process for client departments according to the Americans with Disabilities Act Amendment Act (ADAAA).
• Facilitate job analysis and return to work activities.
• Assist management in determining employee Fitness for Duty and coordination of related processes.
• Establish and maintain documentation of all case management decisions and

communications.

• Communicate clearly and timely with management, employees, medical director, and fellow Medical and Health Management team members.
• Consult with employees and management on applicability of other available resources (LTD, Workers Compensation, Medical Benefits, EAP/Mental Health Benefits, Fitness for Duty Exams, Etc.)
• Provide on-site support for mandatory physicals (DOT, ERT, OSHA)
• Support employee Health and Wellness initiatives, including health fairs, immunizations, health education and other company-supported programs.
• Provide medical support for employees working on storm restoration.