Clinical Case Manager

JOB TITLE:                            Clinical Case Manager

SALARY RANGE:                  Min.: $ 65,975           Mid: $ 82,469            Max: $ 98,963

DEPT/DIV:                            Occupational Health Services

SUPERVISOR:                       Senior Clinical Case Manager

LOCATION:                           Various

HOURS OF WORK:              9:00 am - 5:30 pm (7 1/2 hours/day)

DEADLINE:                           Open Until Filled

 This position is eligible for telework which is currently one day per week. New hires are eligible to apply 30 days after their effective date of hire.

Summary

The Clinical Case Manager will coordinate the return-to-work processes of Occupational and Non-Occupational related injuries/illnesses for all MTA agencies. Will be responsible for effective supervision of LPN/RNs, as well as administrative staffing. Monitor the employee return to work process to ensure successful transition and revise the return to work plan as necessary. Works closely with the MAC Clinical staff to develop effective and efficient return to work plans and programs.

The Clinical Case Manager will coordinate the Departmental Claims Review process. Review medical documentation and consult with OHS Physician staff, and or treating Physicians/Clinicians to ensure compliance with OHS medical standards. Enforce compliance with governmental, HR and Labor policies, and procedures. Prepare statistical data and report findings. Conduct in person interviews of employees and site visits with community medical offices. Reviews return to work strategy with treating physicians.

Responsibilities

• Perform Return to Work/Case Management activities for all Occupational & Non-Occupational related injuries/illnesses for all MTA employees.
• Coordinate the initial interviews for approximately 1000 employees annually ensuring that FRA and FTA regulations & guidelines are followed.
• Analyze and Track Case Coordination outcomes
• Serve as a liaison between OHS, departments, and employees.
• Strict adherence to maintaining confidential medical records, compliance with HIPAA regulations, and documenting all medical findings accurately are required
• Collaborate with OHS Physician/Clinical Staff to ensure effectiveness of RTW programs.
• Establish and Maintain relationships with community physicians
• Calibrate all equipment daily at the beginning of each shift and perform all diagnostic tests.
• Track, schedule, perform screening elements, and monitor all medical surveillance examinations, FRA exams and Railroad required exams
• Perform drug and alcohol collections on employees/candidates as needed.
• Assist physicians with examinations/evaluations as needed
• Record test data into electronic Medical Records system and audit all data entries
• May administer Hepatitis B, Tetanus-Diphtheria and Influenza vaccines as needed
• Provide emergency care to employees/candidates
• Collect blood samples as needed
• Other duties as assigned.

Qualifications

• Knowledge of case management and workers’ compensation laws required.
• Demonstrated ability to work with all internal levels within a given organization and communicate effectively with key internal and/or external stakeholders.
• Demonstrated ability to communicate and interact well with external agencies. External agencies may include the New York City and State government, elected and other public officials, third party medical professionals, as well as any staff located at other federal or state agencies or authorities.
• Demonstrated ability to work in a high-profile, high-pressure environment effectively.
• Able to exercise proper judgment when resolving equipment malfunctions and staffing issues.
• Must understand HIPAA regulations and protection of patient confidentiality.
• Demonstrated ability to complete short- and long-term projects effectively and as efficiently as possible.
• Demonstrated analytical capabilities and quantitative skills.
• Must be detail oriented.

Education and Experience

• Requires a valid NY State Registered Nursing (RN) License.
• Minimum of two years’ (2) experience required as an RN.
• Minimum of an associate degree in a Nursing or Health Care field.
• Understanding of diagnostic tests and procedures required.
• Must possess basic computer skills in Microsoft Office Suite or comparable applications, i.e., Word, Excel, PowerPoint, and Outlook.
• Must possess good interpersonal skills. Excellent communication and interpersonal skills preferred.

PREFERRED

• Certified Occupational Health Nurse or Case Manager Certification
• Knowledge of FRA medical policies and procedures.
• Understanding of Occupational Health & Safety.
• Excellent organizational and presentation skills.
• Willingness to successfully complete Breath Alcohol Technician (BAT) Certification course to become BAT certified under DOT/FRA regulatory guidelines within one year of hire.
• Prior experience working in a large, multi-faceted, fast-paced organization or governmental body.
• Familiarity with the MTA’s policies and procedures.
• Familiarity with the MTA’s collective bargaining procedures.

Other Information

As an employee of MTA Headquarters, you may be required to complete an annual financial disclosure statement with the State of New York, if your position earns more than $108,638 (this figure is subject to change) per year or if the position is designated as a policy maker.

How To Apply

MTA employees must apply via My MTA Portal. You can submit an online application by logging into My MTA Portal, clicking the My Job Search ribbon, and selecting the “Careers” link.

Logging in through My MTA Portal will link your BSC ID number to your job application to identify you as an internal applicant.

Equal Employment Opportunity

MTA and its subsidiary and affiliated agencies are Equal Opportunity Employers, including with respect to veteran status and individuals with disabilities.

The MTA encourages qualified applicants from diverse backgrounds, experiences, and abilities, including military service members, to apply.