MBI Management Services Inc.
Occupational Health Services Manager
hace 5 días
Phoenix
Job Description Summary The Occupational Health Services Manager Operations leader oversees nonclinical occupational health processes across clinics in various states. This position ensures compliance with federal, state, and industry regulations for worker’s comp. The incumbent leads a team of Occupational Health Coordinators. The leader supports high-quality patient care while promoting team efficiency and accuracy. The manager leverages electronic medical records (EMR) systems, call center activities, centralized referral systems to enhance service efficiency, reduce costs, and manage multi-state operations. Extensive expertise in OSHA standards, HIPAA compliance, and state-specific workers’ compensation laws. Required to coordinate with healthcare providers, insurance carriers, employers, and regulatory bodies, fostering a culture of safety, compliance, and continuous improvement. Key Responsibilities Team Leadership Management • Lead and mentor Occupational Health Coordinators across multi state and multi-site clinics, ensuring consistent service delivery and team cohesion., • Recruit, hire, and train coordinators with tailored programs. Address skill gaps in workers comp injury claims procedures and scheduling software., • Set performance goals, conduct evaluations, and provide feedback to support coordinator development., • Foster continuous improvement through regular workshops on regulatory updates and customer service, reducing documentation errors., • Oversee workers’ compensation claims, ensuring accuracy and timely processing., • Resolve conflicts, hold team meetings, implement 360-degree feedback and quarterly goal reviews., • Support continuing education and certifications as needed., • Develop succession plans, identifying high-potential coordinators for leadership training. Operational Oversight • Define and track key performance indicators (KPIs) such as referral turnaround time, authorization lag, and claim error rates across all clinics., • Oversee daily back end supporting operations, ensuring consistency in referral processes, care co-ordination and scheduling across all clinics., • Develop standardized operating procedures for patient intake, treatment, follow-up, claim submission (48-hour turnaround), and scheduling (24-hour confirmation)., • Manage budgets, analyze cost structures, and optimize resources to reduce operational costs., • Oversee processes, set standards, and ensure efficiency across clinics., • Monitor performance via reports and dashboards., • Coordinate with clinic managers/supervisors to address staffing shortages or system downtimes. Customer Service and Stakeholder Communication • Ensure high customer satisfaction across interactions with patients, employers, carriers, providers, and adjusters., • Implement monthly stakeholder feedback mechanisms and forms, allowing prompt feedback., • Manages strategic communication (e.g., employer meetings, partnership building., • Facilitate employer meetings for work status updates and return-to-work plans., • Train coordinators in empathy, active listening, and conflict resolution., • Deliver EMR reports on referrals and authorizations with accuracy., • Build partnerships with diagnostic centers and specialists to enhance service delivery. Compliance, Regulatory Adherence, and Referral Leadership • Establish a formal quality assurance program with regular audits, escalation pathways, and continuous improvement cycles to ensure consistent service delivery., • Ensure compliance with OSHA, HIPAA, and state regulations through regular audits., • Maintain a compliance calendar and submit required regulatory forms accurately., • Adhere to state-specific workers’ compensation laws, ensuring timely filings., • Provide training on OSHA standards, including General Duty Clause and Bloodborne Pathogens Standard., • Provide process oversight, standardization, and performance monitoring regarding referrals and authorizations, adapting workflows to regulatory changes., • Implement EMR referral tracking for efficient processing., • Oversees audits and ensures regulatory alignment across multiple states. Patient Care and Service Delivery • Collaborate with providers for comprehensive treatment plans, including physical therapy., • Schedule diagnostic services (e.g., MRIs, CT scans) within 72 hours for 90% of cases, coordinating with vendors like Laboratories, specialists, Diagnostics, collections. Workers’ Compensation Management • Oversee injury documentation and reporting, ensuring timely claim submissions., • Facilitate communication between employers, employees, and carriers to resolve disputes., • Manage return-to-work programs, providing timely work status updates., • Analyze claim data and train staff in claims processes. Strategic Planning and Development • Lead change management initiatives to support centralization efforts, including communication plans, training modules, and feedback loops for adoption., • Develop initiatives to reduce appointment no-shows using scheduling software., • Align strategies with state directors to improve operations., • Update policies regularly to ensure compliance and reduce documentation errors. Required Skills and Qualifications • Education: Bachelor’s degree in healthcare administration, business administration, or related field., • Experience: 7+ years in healthcare administration / operations management, preferably in occupational health, with 3+ years in a supervisory role managing multi-site operations., • Regulatory: Knowledge of OSHA, HIPAA, and state-specific workers’ compensation laws across multi state., • Technical Skills: Proficiency in Systoc EMR, and intermediate ability in Microsoft tools such as Word and Excel., • Leadership: Capability to manage multiple coordinators with effective communication and conflict resolution skills., • Analytical Skills: Ability to analyze data and track KPIs like claim error rates and customer satisfaction., • Travel: Travel up to 20% for clinic visits and meetings. Key Competencies • Leadership: Effective team management and performance coaching., • Strategic Thinking: Align initiatives with organizational goals., • Regulatory Compliance: Ensure adherence to regulations through audits., • Financial Acumen: Optimize budgets for cost efficiency., • Technological Proficiency: Ensure effective use of Systoc EMR systems., • Organizational Skills: Manage priorities in a fast-paced, multi-state environment., • Communication: Resolve stakeholder issues efficiently. Work Environment and Schedule • Location: Corporate HQ with hybrid/remote options, requiring three days in-office weekly., • Travel: Up to 20% for clinic visits and conferences planned quarterly., • Culture: Collaborative, innovative environment focused on efficiency and customer service, with quarterly team-building activities., • Challenges: Managing multi-state operations, ensuring regulatory compliance, and supporting high accuracy in claims processing. Benefits: At MBI, our commitment to providing accessible and convenient care to individuals injured at work is a team effort. Every employee and role are essential and valued. Rewarding the dedication and commitment of our employees extends beyond a paycheck. In addition to competitive salaries, we offer to full-time employees: • Group Medical, Dental, and Vision Insurance, • Life, Short-Term, and Long-Term Disability Insurance, • 401(K) with company match, • Generous Paid Time Off + Paid Holidays, • Referral Bonus Program Equal Opportunity Employer