Our organization is approximately 7,500 employees with Employee Health responsible for the entire WC program and reporting to the CHRO.

We are self- insured using a TPA for claims management.

I currently have a dedicated WC Case Manager as the liaison/resource for the injured employee and the TPA.

Risk Management is not involved with the WC process

We have ACPs that initially manage the injured patient and refers out to specialists as needed.

 

I have been recently pondering if the Case Manager is benefitting our organization or could the TPA include this service.

 

Thanks.

 

 

Jerry L. Burleson, RN, MBA

Manager, Employee Health and Clinic

New Hanover Regional Medical Center

PO Box 9000

Wilmington, NC 28403-9000

(910) 667-5663 – Office

(910) 612-8770 – Cell

(910) 667-5695 – Fax

Jerry.burleson@nhmrc.org

 

Leading our Community to Outstanding Health

 

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Charles Hackett
Sent: Monday, July 1, 2019 9:38 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: [MCOH-EH] Worker's Compensation

 

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We report into HR at our system and oversee a population of approximately 15k employees at multiple sites.

Our EOHS department has historically managed every aspect of WC.

We use a TPA and are going through a RFP. We have had a nurse manager in the role of overseeing the TPA and interfacing with our employees when they are first injured and are involved through directing care to help with returning to work and a pretty vibrant modified work program.

Our management is questioning the value of a clinician in that role.

 

How is the management of workers compensation structured within your organization?

What role does your employee health/occupational health team play?

Do you have a dedicated manager and what is their background?

Where does risk fit into the overall scheme of things?

Do you have dedicate clinicians involved in your program?

Thank you

Charlie Hackett MD, MPH, Lifespan EOHS

 

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