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
Leading our Community to Outstanding Health
Confidentiality Notice: If you are not the intended recipient of this message, you are not authorized to intercept, read, print, retain, copy, forward, or disseminate this communication, its
enclosures or attachments. This communication may contain information that is proprietary, confidential, protected health information (PHI) which is subject to HIPAA privacy and security guidelines, or otherwise legally exempt from disclosure. If you have
received this message in error, please notify the sender immediately either by phone (910.667.5307) or by return e-mail and destroy all copies of this message (electronic, paper, or otherwise).
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
** CAUTION: External Email **
Do not click links or attachments
unless you recognize the sender and know the content is safe.
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