Overview:
Concentra is recognized as the nation’s leading occupational health care company.
With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America’s workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees.
The Concentra Clinical Learning Consultant is responsible for coordinating and integrating the operational and administrative components of consulting employer's occupational health and injury care programs in accordance with mutually agreed upon policies, procedures, and practices to achieve optimal clinical and financial outcomes. This role is helps facilitate patient care by assessing case progression, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress with an overall goal to improve clinical outcomes, increase patient satisfaction, and promote cost-effectiveness.
Responsibilities:
- Oversee and advise on clinical, operational and administrative activities of the consulting employer's occupational health programs
- Provide training for clinicians and operations staff at the local level
- Point of contact for the guidance and resolution of all escalated issues
- Annual update of all tool kit training materials for consulting employers
- Provide analyses and identify areas for improvement
- Create and track employer concerns while monitoring action and determining root causes
- Drive consistency across all Medical Centers by endorsing mutual understanding and use of Concentra’s medical model while utilizing the data and tools available from both Concentra and consulting employers
- Partner with Concentra’s centers and the consulting employers, providing strong communication channels to achieve consistency and outcomes that are representative of Best In Class care
- Monitor and track patient compliance, including attendance at appointments, therapy adherence,
and provider instructions; escalate issues proactively - Coordinate and expedite referrals/authorizations to minimize delays between appointments and
specialist care - Identify and resolve process gaps in care coordination and claims management that contribute to
extended case durations - Identify best practices for Case Reviews and implement adoption of these practices in all markets
Qualifications:
- Active state nursing license as registered nurse.
- Bachelor’s degree and certification in occupational health nursing or case management preferred
- Basic understanding of federal and state regulations applicable to occupational and environmental health and safety
- Minimum of 3-5 years of practical experience in occupational health, preferably in a manufacturing environment, distribution facility, or any equivalent or relevant combination of experience and training which provides the knowledge and abilities necessary to perform the work.
Job-Related Skills/Competencies
- Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and
Flexibility - Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and
propose quality solutions - Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
- The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
- Strong planning, and organizational skills
- Proven leadership qualities with influencing and negotiation skills
- Excellent team building skills
- Proficient in Microsoft Word and Excel
- Capability to analyze, manipulate and interpret large data sets
- Ability to work under tight time schedules and handle multiple tasks
- First rate customer service and communication skills
- Strong problem-solving skills
- Demonstrated effective communication and interaction with employers, patients, providers and other employees
- Ability to maintain working relationship with all levels of employees
Additional Data:
Employee Benefits
- 401(k) Retirement Plan with Employer Match
- Medical, Vision, Prescription, Telehealth, & Dental Plans
- Life & Disability Insurance
- Paid Time Off
- Colleague Referral Bonus Program
- Tuition Reimbursement
- Commuter Benefits
- Dependent Care Spending Account
- Employee Discounts
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required.
*This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management*
Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.