LNI Coordinator - Remote

Position Summary

Surgical Health Services Coordinator – WA State L&I

The SHSC will act as a liaison between the interested parties to the claim (L&I, Employer, Patient, and Physician) and ensure timely and effective transition of care. The goal of this program is to remove barriers and improve return to work outcomes for state funded injured workers. The ideal candidate will have a medical background, familiar with L&I claims and claims management.

Key Duties and Responsibilities

The key duties and responsibilities of the Patient Services Representative Lead include, but are not limited to:

• Serving as a liaison, the SHSC shall communicate in a timely manner with all parties to the claim to ensure best practices are being followed from initial consultation through post-op recovery phases and transition to the next step in care, as needed. SHSC shall communicate with COHE health services Coordinators where applicable.
• Manage and document their work in L&I’s web-based Occupational Health Management System (OHMS).
• The SHSC shall identify claims that are at risk for long-term disability through:
  • Claim-file review
  • Risk Measures identified by the SHSC
  • Risk Measures identified by OHMS
  • Requests for assistance on the claim from providers, injured workers, employers, or L&I staff

Education/Experience

• High School diploma or the equivalent required
• Professional experience in a field of occupational therapy, physical therapy, vocational rehabilitation counseling, workers’ compensation, claim management/coordination, or other related field.
• Experience with Washington’s workers’ compensation system that required effective, regular communications with interested parties regarding medical procedures, terminology and claims processes.
• 3 year’s experience providing customer service, solving problems and building professional alliances and trusting relationships with all interested parties.

Knowledge, Skills and Abilities

• Proficient knowledge of medical terminology preferred at time of hire
• Superior customer service skills
• Strong leadership, training and mentoring abilities
• Promoting (leading by example) great interpersonal skills; modeling patience, composure and cooperation; working well with all patients, physicians and team.
• Advanced understanding of and Adherence to all safety, risk management and precautionary procedures (OSHA/WISHA), including the consistent respect for confidentiality (HIPAA)
• Efficient use of time, with attention to quality, detail, accuracy and completion; skilled in delegation and organization
• Ability to establish and manage multiple priorities, coordinate work activities and exercise initiative.
• Creativity and resourcefulness in addressing problems and opportunities and tenacity to see things through to solution
• Willingness and ability to be flexible with working varied hours, stepping in as a working leader as needed and dependable with attendance
• Ability to remove oneself personally from given situations, remaining objective.
• Demonstrate a learning attitude toward solving problems, using good reasoning and judgment
• Ability to provide feedback to improve performance
• Ability to adapt to change, delays or unexpected events while maintaining a positive mindset
• Self-motivated; able to work independently and collaboratively, following specific guidelines and procedures; measure self against standard of excellence, overcome obstacles and challenges, involving others when needed

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.