Analyst II, LOA Case Manager

Denver Health; Denver (CO); 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 provide essential support for patients and their families. This role involves overseeing leave programs, ensuring compliance with state and federal laws, and facilitating communication between various stakeholders. With a focus on reducing lost time and improving return-to-work outcomes, you'll play a crucial part in the health journey of many. Join a dynamic team that values respect, belonging, and accountability, and be part of a mission-driven organization making a significant impact in the community.

Benefits

27 paid days off per year

Immediate retirement plan contribution up to 9.5%

Generous medical plans

Free RTD EcoPass

On-site fitness center and wellness classes

Childcare discount programs

Tuition reimbursement

Education and development opportunities

Professional clinical advancement program

Public Service Loan Forgiveness eligible employer

Qualifications

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

Responsibilities

• Analyze medical certifications to determine leave eligibility.
• Manage caseloads and ensure quality standards for case management.
• Facilitate communication between patients, physicians, and providers.

Skills

Leave Management

Case Management

Medical Record Interpretation

Communication Skills

Education

Bachelor's Degree in related field

Job description

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

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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 any 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 centralized, strategic focus to reduce lost time accidents & indemnity days paid rates. Reviews departments' return to work efforts and provide strategic focus to improve results. Ensures compliance with state & federal laws.

Essential Functions

• Analyze medical certifications to determine the appropriate duration and scope of the leave as needed to determine the appropriateness of leave of absence and eligibility under company, federal, and state plans. Verify that clinical recommendations align with the employee's job responsibilities and provide input on necessary accommodations. Ensure all required documentation is accurately completed and maintained, including medical certifications and return-to-work notes. (30%)
• Manage caseloads, organize priorities, provide timely interventions, and maintain sensitivity to confidential records and ensure quality standards for case management are met. (25%)
• Conducts follow-ups on the status of all cases, monitors usage, tracks return-to-work status, and addresses issues with employees and their immediate supervisors. (10%)
• Communicates and works with variety of internal and external sources such as attorneys, physicians, providers, payroll, vendors to achieve timely and prompt resolution of claim. (10%)
• Determine optimal recovery durations based on the diagnosis, job classification, individual factors, treatment and rehabilitation, psychosocial consideration, and establish return-to-work expectations through proactive case management (10%)
• Conducts the research, analysis, investigation, and assessment of disability claims to determine appropriate actions and eligibility for benefits. (5%)
• Serve as the subject matter expert for leave of absences, including company leave, state and federal leaves, and disability leave plan. (5%)
• Facilitate the transition of short-term disability claims to a third-party long-term disability vendor. (5%)
  
  

Education

• Bachelor's Degree Bachelor's degree or equivalent experience in related field. Required
  
  

Work Experience

• 4-6 years Experience working in leave management and/or clinical setting Required
  
  

Licenses

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
  
  

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

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

Applicants will be considered until the position is filled.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Human Resources

• Industries

  Hospitals and Health Care

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