Analyst II, LOA Case Manager

We are recruiting for a motivated Analyst II, LOA Case Manager to join our team!

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Humanity in action, Triumph in hardship, Transformation in health.

Department

HR Administration

Job Summary
Provides support to patients, their families, and physicians in addressing any plan- or benefit-related policies such as sick leave, accident leave, short- and long-term disability, FMLA, etc. Responsible for oversight, application and administration of all leave programs supporting qualified absences due to occupational and non-occupational events. Educates patients and families to make informed decisions. Facilitates communication between patient, physician and plan provider. Creates and manages corporate return to work programs. Provides a centralized, strategic focus to reduce lost time accidents & indemnity days paid rates. Reviews departments' return to work efforts and provide strategic focus to improve results. Ensures compliance with state & federal laws.
Essential Functions:

• Analyze medical certifications to determine the appropriate duration and scope of the leave as needed to determine the appropriateness of leave of absence and eligibility under company, federal, and state plans. Verify that clinical recommendations align with the employee's job responsibilities and provide input on necessary accommodations. Ensure all required documentation is accurately completed and maintained, including medical certifications and return-to-work notes. (30%)
• Manage caseloads, organize priorities, provide timely interventions, and maintain sensitivity to confidential records and ensure quality standards for case management are met. (25%)
• Conducts follow-ups on the status of all cases, monitors usage, tracks return-to-work status, and addresses issues with employees and their immediate supervisors. (10%)
• Communicates and works with variety of internal and external sources such as attorneys, physicians, providers, payroll, vendors to achieve timely and prompt resolution of claim. (10%)
• Determine optimal recovery durations based on the diagnosis, job classification, individual factors, treatment and rehabilitation, psychosocial consideration, and establish return-to-work expectations through proactive case management (10%)
• Conducts the research, analysis, investigation, and assessment of disability claims to determine appropriate actions and eligibility for benefits. (5%)
• Serve as the subject matter expert for leave of absences, including company leave, state and federal leaves, and disability leave plan. (5%)
• Facilitate the transition of short-term disability claims to a third-party long-term disability vendor. (5%)

Education:

• Bachelor's Degree Bachelor's degree or equivalent experience in related field. Required

Work Experience:

• 4-6 years Experience working in leave management and/or clinical setting Required

Licenses:

Knowledge, Skills and Abilities:

• Ability to review, interpret, and understand medical records, determinations, and notes

Shift

Days (United States of America)

Work Type

Regular

Salary

$73,600.00 - $114,100.00 / yr

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program 

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.