Sr Case Management Specialist - 90300793 - Wilmington

Company: Amtrak Location: Wilmington, DE, US, 19801 Job Summary This role provides active management of Amtrak injured workers from the day of injury through their return to work at Amtrak. The role is the point of contact for the injured worker, the manager, and the medical management team (vendor) and ensures any returning worker has the appropriate medical evaluation and clearances. The role identifies transitional duty for Amtrak injured workers so that they can return to productive paid employment as they recover from their on‑duty injuries and refers those who are not able to return to their positions to the ADA process. Coordinate with injured employees, their supervisors, occupational health care vendor, and health care providers in identifying jobs that can be modified to fit the employee’s medical restrictions until they can return to full duty. Essential Functions Performs case management for injured workers. Reviews all medical documentation to ensure the employee has been medically released to return to his or her position by the treating doctor without restrictions. Escalates any concerns about fitness for duty to the Corporate Medical Director. Once the Case Manager / Sr Case Manager has reviewed the release, they send the request for the Return to Work (RTW) drug tests to the Return to Work coordinator. Works with the injured workers, the supervisor, the external medical management vendor and treating health care providers to identify when an injured employee may return to work and to facilitate transitional duty where appropriate. Ensures uniform implementation of Right Care Day 1 (RCD1) policies and processes and adherence to HR policies as it relates to leave and return to work. Identifies Transitional Duty assignments where appropriate and tracks injured employees’ attendance and recovery progress, overseeing their transition to modified duties or alternative work, and coordinating their return to full duty. Provides effective communication about injured worker status to managers, claim adjusters, and other stakeholders, and monitors the worker’s progress toward maximum medical improvement. Collaborates with labor organizations to facilitate alternative work arrangements and delivers ongoing educational training sessions to management and staff. Drives process improvements in case management and works with the medical management vendor to generate efficiencies and cost savings. Minimum Qualifications Bachelor’s degree or equivalent combination of training, deduction, and relevant experience may be considered in lieu of a degree. 3 or more years of prior relevant experience. Related occupational health experience, case management experience, experience with Workers Compensation/FELA or non-occupational disability programs. Ability to work with union representatives, supervisors/managers, and external agencies to identify transitional duty options for injured workers. Ability to build relationships with customers in the field. Familiarity with medical terminology and conditions. Excellent written and verbal communication skills and ability to communicate professionally and effectively with all levels of management and agreement employees. May require off‑hours availability. Preferred Qualifications Previous experience in a medical case manager role. Experience working with injured workers in a medical office or hospital or handling injured workers claims in an insurance environment. 5 or more years working with injured workers in a medical office or handling injured workers claims in an insurance environment. Occupational health experience, case management experience, experience with Workers Compensation/FELA or non-occupational disability programs. Experience in Workers Compensation, FELA, or non-occupational disability management. Experience with railroad operations. Certification in occupational health nursing (COHN), Case Management (CCM). Knowledge, Skills, and Abilities Demonstrate the ability to collaborate effectively with union representatives, managers, and vendors. Exhibit excellent written and verbal communication skills to interact with individuals at all levels. Conceptualize, develop, and execute transitional work programs tailored to injured employees and organizational objectives. Manage relationships with diverse stakeholders, including union representatives, managers, and external agencies. Compensation and Benefits The salary/hourly range is $78,600.00 – $101,844.00. Pay is based on several factors including but not limited to education, work experience, certifications, etc. Depending on an employee’s assigned worksite or location, Amtrak may consider a geo‑pay differential. Amtrak may offer additional incentive and pay programs to recognize and reward employees, including a short‑term incentive bonus. In addition to salary, Amtrak offers a comprehensive benefit package that includes health, dental, and vision plans; health savings accounts; wellness programs; flexible spending accounts; 401(k) retirement plan with employer match; life insurance; short and long‑term disability insurance; paid time off; backup care; adoption assistance; surrogacy assistance; reimbursement of education expenses; Public Service Loan Forgiveness eligibility; Railroad Retirement sickness and retirement benefits; and rail pass privileges. Requisition ID: 166269 Work Arrangement: 06‑Onsite 4/5 Days Click here for more information about work arrangements at Amtrak. Relocation Offered: No Travel Requirements: Up to 25% Amtrak is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race/color, religion, sex gender identity or expression, national origin, age, citizenship, disability, or any other status protected by law. #J-18808-Ljbffr Amtrak