Facility: Copley Drive
City San Diego
Department
Job Status
Per Diem
Shift
Variable
FTE
0
Shift Start Time
Shift End Time
Workers' Compensation Claims Professional (WCCP) - The Institutes Risk & Insurance Knowledge Group; H.S. Diploma or Equivalent
Hours **:
Shift Start Time:**
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$27.230 - $33.950 - $40.670
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.? The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
Provide case management services related to industrially injured patients referred to Specialty Care physicians.
Required Qualifications
H.S. Diploma or Equivalent
1 Year experience in medical office and/or insurance.
Preferred Qualifications
Occupational Medicine experience.
Workers' Compensation Claims Professional (WCCP) - The Institutes Risk & Insurance Knowledge Group -PREFERRED
Essential Functions
Accountability and teamworkAssists co-workers with their tasks.Assists in training new employees.Informs supervisor when available for additional assignments.Cross-Trained in one or more areas within own department.Priortizes assignments effectively by setting work goals and objectives in consultations with others.
Act as a department liaisonAbility to answer questions from all customers.Researches and responds to customer correspondence.Notifies Supervisor of customer complaints.
Communication and teamworkDemonstrates a commitment to serving other employees above self through, teamwork, collaboration, developing others and an uncompromising adherence to SHC's values. Is respectful and trustful of others. Decisions are guided by the organizational values and are made with honesty and respect.Treats customers and co-workers with dignity and respect.Is open and responsive to the diverse experiences and backgrounds of other people.Demonstrates respect and appreciation for individual, cultural and age-specific relationships.Consistently displays commitment and support of decisions.Establishes effective working relationships between internal and external customers.Accepts feedback about effectiveness of own communication. Integrates learning into changes in behavior, approach, and actions.Works cooperatively with co-workers to accomplish goals.Supports others in work completion.Stays informed through staff meetings, electronic communication, in-services, and educational opportunities.Shares and provides information with others.Initiates communication with others to ensure job is completed successfully.Knows own strength and weaknesses.Delivers answers and solutions within the agreed upon timeframe.Responds with acceptance and understanding to diversity in the workplace (e.g., cultural, age, opinion, style, etc).Effectively communicates with co-workers despite individual differences.Decisions reflect the Sharp HealthCare Mission, Values, and Philosophy.
Correspondence accuracyEnters receipt of correspondence in IDX.Clearly outlines issues on cases.When warranted, closes occupational medicine cases.Evaluates IDX screens for consistent data entry problems within a clinic or department and reports to supervisor.
Customer serviceValidates messages by clarifying expectations and verifying understanding of agreements/action plans.Uses effective interpersonal skills that are appropriate with customers.Uses special needs resources (translation, phone services) to communicate with customers that speak another language or have hearing/speech disorders.Establishes effective working relationships between internal and external customers.Seeks opportunities for feedback to improve effectiveness of own communication.Integrates learning into changes in behavior, approach, and actions.
Demonstrates ability to adaptAccepts new assignments.Accepts changes in workload.Accepts changes in policies and procedure.Helps out with other job duties as needed within the department.
Demonstrates dependabilityAt workstation ready to work at assigned time.Using and planning personal leave time according to department guidelines.Completing work in a reliable, cost effective manner requiring minimal supervision.Follow SRS attendance policy.
Demonstrates initiativeDemonstrates commitment to quality and operational excellence through creativity, seeking continuous improvement and initiating breakthroughs. Anticipates change and demonstrates flexibility in work practices. Effectively makes timely decisions focused on performance and results. Actively practices safe work habits and contributes to ensuring a safe work environment.Cooperates with initiatives to improve work processes.Tries new ideas and new ways of doing things with guidance.Notifies appropriate resources when issues or problems arise.Makes sound decisions and demonstrates ability to handle situations not covered by written or verbal instructions.Promotes quality outcomes in complex, new/unusual, or other high-risk clinical situations, collaborating or seeking additional resources as needed.Completes quality-monitoring tools as specified.Keeps abreast of new developments in field, discipline, or functional area.
Financial accountabilityDemonstrates flexibility in work practices.Supports organizational cost containment.Takes initiative in using time effectively.Actively sets priorities and adjusts to unscheduled situations.Accepts responsibility for own actions and outcomes.Initiates communication with others to ensure job is completed successfully.
Workers' compensation casesCoordinates specialty care referrals from both internal and external customers.Supports workers' compensation clinics.Demonstrates thorough familiarity with workers' compensation laws and issues.Coordinates conversion of private cases to occupational medicine cases.Facilitates coordination of patient's care per physician recommendation, handles requests from carrier/injured worker by communicating with assigned physician.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
