Analyst II, LOA Case Manager

Denver Health; Broadway; On-site; USD 73,000 - 115,000; Full time

Job summary

An established industry player is seeking a motivated Analyst II, LOA Case Manager to join their HR Administration team. This role is pivotal in supporting patients and their families while ensuring compliance with state and federal laws. You will analyze medical certifications, manage caseloads, and facilitate communication between various stakeholders. With a focus on reducing lost time accidents and improving return-to-work strategies, you will play a crucial role in the organization's mission. This position offers a rewarding opportunity to make a meaningful impact in the healthcare sector.

Benefits

27 paid days off per year

Immediate retirement plan employer contribution up to 9.5%

Generous medical plans

Free RTD EcoPass (public transportation)

On-site employee fitness center

Childcare discount programs

Tuition reimbursement

Professional clinical advancement program

Public Service Loan Forgiveness (PSLF) eligible employer

Qualifications

• 4-6 years experience in leave management and/or clinical setting required.
• Ability to review and interpret medical records.

Responsibilities

• Analyze medical certifications and determine appropriate leave duration.
• Manage caseloads and provide timely interventions.
• Communicate with external and internal sources to resolve claims.

Skills

Analytical Skills

Case Management

Communication Skills

Medical Record Interpretation

Education

Bachelor's Degree in a related field

Job description

We are recruiting for a motivated Analyst II, LOA Case Manager to join our team!

We are here for life's journey.
Where is your life journey taking you?

Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:

Humanity in action, Triumph in hardship, Transformation in health.

Department

HR Administration

Job Summary

Provides support to patients, their families, and physicians in addressing plan- or benefit-related policies such as sick leave, accident leave, short- and long-term disability, FMLA, etc. Responsible for oversight, application, and administration of all leave programs supporting qualified absences due to occupational and non-occupational events. Educates patients and families to make informed decisions. Facilitates communication between patient, physician, and plan provider. Creates and manages corporate return-to-work programs. Provides a strategic focus to reduce lost time accidents & indemnity days paid rates. Reviews departments' return-to-work efforts and provides strategies to improve results. Ensures compliance with state & federal laws.

Essential Functions

1. Analyze medical certifications: Determine appropriate leave duration and scope, verify clinical recommendations align with job responsibilities, ensure documentation accuracy. (30%)
2. Manage caseloads: Organize priorities, provide timely interventions, maintain confidentiality, and meet quality standards. (25%)
3. Conduct follow-ups: Monitor case status, track return-to-work, and address issues with employees and supervisors. (10%)
4. Communicate with external and internal sources: Work with attorneys, physicians, providers, payroll, vendors to resolve claims promptly. (10%)
5. Determine recovery durations: Based on diagnosis, job classification, individual factors, and establish return-to-work expectations. (10%)
6. Research and assess disability claims: Determine eligibility and appropriate actions. (5%)
7. Serve as subject matter expert for various leave plans and disability policies. (5%)
8. Facilitate transition of disability claims: Coordinate with third-party long-term disability vendors. (5%)

Qualifications

• Bachelor's Degree or equivalent experience in a related field. Required.
• 4-6 years experience in leave management and/or clinical setting. Required.

Knowledge, Skills, and Abilities

• Ability to review, interpret, and understand medical records, determinations, and notes.

Shift

Days (United States of America)

Work Type

Regular

Salary

$73,600.00 - $114,100.00 / yr

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans.
• Free RTD EcoPass (public transportation).
• On-site employee fitness center and wellness classes.
• Childcare discount programs & exclusive perks on large brands, travel, and more.
• Tuition reimbursement & assistance.
• Education & development opportunities including career pathways and coaching.
• Professional clinical advancement program & shared governance.
• Public Service Loan Forgiveness (PSLF) eligible employer + free student loan coaching and assistance navigating the PSLF program.
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer.

Our Values

• Respect
• Belonging
• Accountability
• Transparency

Note: All safety-sensitive position applicants must pass a pre-employment drug test after a conditional offer.

Denver Health is an integrated, high-quality academic health care system, serving as a model for the nation, including a Level I Trauma Center, a 555-bed acute care medical center, emergency response, health centers, and more. As Colorado's primary safety-net institution, we provide billions in uncompensated care and focus on community needs, serving over 185,000 individuals annually. Located near downtown Denver, we offer access to cultural and recreational activities.

Denver Health is an equal opportunity employer (EOE). We value the unique talents and contributions of our community.

Applicants will be considered until the position is filled.