St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Workers Compensation/UE Specialist is responsible for working with injured employees, managers and care teams to facilitate a fast and safe return to work, whether back to the employee’s original position or in a modified duty position. Reports claims and updates to the TPA for proper claims handling in accordance with applicable laws. Completes and maintains all OSHA documentation for the network as required for year-end reporting.
JOB DUTIES AND RESPONSIBILITIES:
Manages the Worker’s Compensation Program according to established criteria and assures that a case management approach is established for all worker’s compensation claims.
Maintains ongoing communication with TPA and reviews all claims as need with claims personnel.
Works closely with treating providers to assure that a plan of care is established with realistic goals and target dates for return to work emphasizing an early return to work and an aggressive use of light duty.
Works closely with the Worker’s Compensation Manager to ensure that legal counsel is brought in when appropriate and assists counsel on any litigated claims. May attend WC hearings as needed.
Maintains close communication with the injured employee, manager, medical providers and TPA.
Works closely with Human Resources Directors at all entities, Managers, Supervisors and Clinical Coordinators to facilitate and address opportunities for modified duty return to work.
Completes and submits all Unemployment Claims, network-wide, to ensure timely and proper filing of documents to the state.
Advises Manager and entity HR Directors of upcoming hearings and/or required phone interviews as requested by the state.
PHYSICAL AND SENSORY REQUIREMENTS:
Requires sitting for up to eight hours per day, one to two hours at a time. Standing for up to one to two hours per day. Must have the ability to hear as it relates to normal conversation, seeing as it relates to general, peripheral and near vision, visual monotony.
EDUCATION:
High school diploma required. Bachelor's degree preferred.
TRAINING AND EXPERIENCE:
A minimum of 1-2 years of Pennsylvania Workers’ Compensation experience with direct adjudication, supervision, and administration of workers’ compensation claims with an insurance company, TPA or self-insured company.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer. (http://www.slhn.org/EOE)
Founded in 1872, St. Luke’s University Health Network (http://www.slhn.org/) (SLUHN) is a fully integrated, regional, non-profit network of more than 20,000 employees providing services at 15 campuses and 300+ outpatient sites. With annual net revenue of $3.5 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital.
SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Fortune/Merative 11 times total and eight years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally.
SLUHN has been named a Top Workplaces 2023 by the Morning Call. In addition, St. Luke’s has been named a Top Workplace nationally, in the Philadelphia region, and in New Jersey. St. Luke’s is the ONLY healthcare institution in Pennsylvania and the third-highest ranked healthcare entity in the nation to be deemed a Top Workplace in 2023. In 2023, St. Luke’s was named one of America’s Best Employers for Women by Forbes. St. Luke’s was the only employer in the Lehigh Valley to be named to the list and was one of only two healthcare employers in Pennsylvania to receive the designation. St. Luke’s University Health Network is the top-ranked Lehigh Valley-based employer in Forbes Magazine’s ranking of employers in Pennsylvania.
Learn More Here. (http://www.slhn.org/About)