Position Title:Medical Case Manager
 
Date Posted: May 30, 2019
 
Job Location: La Farge, Wisconsin
 
Company Name: Organic Valley
 
Contact: Danny Koeller
One Organic Way
La Farge, WI 54639
(608) 625-3686
danny.koeller@organicvalley.coop
https://organicvalley.csod.com/ux/ats/careersite/3/home/requisition/153?c=organicvalley
 
Description:
If a company is going to make a difference in today’s world, it’s going to have to think differently. At Organic Valley, our philosophy and decisions are based on the health and welfare of people, animals and the earth.  We’re a mission-driven cooperative, owned by family farmers, and we’ve been leaders in organic agriculture from the very beginning.  Once pioneers of organic agriculture, we’re now an established leader.  Organic is all we do.  We are driven by our mission to promote regional farm diversity and economic stability by the means of organic agricultural methods and the sale of certified organic products.

Summary of Role

The Medical Case Manager is responsible for managing all aspects of employee workers’ compensation claims and non-work related short-term and long-term disability claims.  Other responsibilities include implementation of, and compliance with, the Family Medical Leave Act (FMLA) and all FMLA related leaves.   This is a safety sensitive position.  
 
Essential Duties and Responsibilities
 
o Comply with federal, state, and local regulations such as Family Medical Leave Act (FMLA), Americans with Disability Act (ADA) , Workers’ Compensation and Disability Insurance Law, and Health Insurance Privacy and Portability Accountability Act (HIPAA)
o Actively balance and support the employees’ and the cooperative’s needs by promptly reporting and providing communication throughout the life of the claim
o Monitor medical restrictions and recommend return to work option, which may include, facilitating vendor Functional Capacity Evaluations or evaluations of accommodations for ADA compliance and Fit for Duty status
o Proactively discuss high risk claims with insurance broker and insurance provider as needed and participate in claims review bi-annually at a minimum
o Offer FMLA benefits and as appropriate, process and determine status, track and communicate; process Medical Leave of Absence requests 
o Oversee Drug and Alcohol Test Program and Act as Designated Employer Representative (DER) for test results
o Complete ergonomic assessments and recommend appropriate follow up
o Manage, track and report accurate job-related metrics in a timely manner to appropriate staff 
o Educate and create awareness with medical professionals of CROPP Return to Work program and philosophy
o Manage OSHA 300 log data and reporting.

Additional Duties and Responsibilities
 
o Maintain good working relationships and have timely, honest, positive two-way communication with CROPP internal and external employees 
o Present self in professional manner to employees at all levels of the organization
o Manage quality of work, meet deadlines, and adhere to assigned scope of work
o Other duties as assigned by supervisor
 
Knowledge, Skills, and Abilities
 
o Bachelor’s Degree in Occupational Health or related field, or equivalent in education required
o A minimum of seven years of related experience required
o Proven experience in multi-tasking and high attention to detail required
o Ability to work with confidential information and maintain confidentiality
o Excellent communication, organizational, and problem solving skills needed
o Ability to efficiently create and manage electronic documents, proficiency in Microsoft Office required
o Valid Driver’s License required and ability to travel and work from various locations
o Ability to lift and carry 25 pounds infrequently
 

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