Who are we? We´re Navistar International Corporation, a market and technology leader. Behind our award-winning trucks, buses, and engines are a strong finance group, a diverse, high-performance workforce, and a company committed to its people.
Directs and coordinates appropriate, timely and cost-effective delivery of health care related to disability, urgent and emergency care, work limitations, and transitional return to work plans. Determines service needs, selects and evaluates the services of appropriate network providers, and makes recommendations for retention or removal from the network. Identifies and coordinates the process of cases requiring physician-level review and implements recommendations. Identifies cases involving high-frequency and high-risk injuries/illnesses and performs ongoing evaluation and treatment plans. Determines essential job functions and identifies and implements necessary limitations, accommodations and part-time work for high-frequency/high-risk cases to reduce the length of disability. Establishes and maintains a confidential recordkeeping system for all cases involved in the case management process. Coordinates case management with other organization areas (e.g., benefits, legal, employee relations, safety). Act as a resource for colleagues with less experience.• Coordinate disability case management activities with employees, on-site medical facilities and company physicians, attorneys, union representatives, local human resources department and investigators. • Control costs; maintain ongoing claim expense reporting requirements in order to meet disability cost goals set by facility and Corporate; timely completion of required reports• Case manage all short term disability cases for Springfield Operations and all long term disability cases corporate wide within standardized guidelines for multiple programs. Maintain employee medical information in a confidential manner adhering to HIPAA standards. • Ensure correct application of disability program policies and procedures, union contract requirements, and corporate disability guidelines and protocols • Help achieve equitable, cost efficient case resolution; optimize company resources for most favorable outcomes; timely resolution of cases; appropriate use of medical and investigation resources• Input and maintain disability claims information on claims management database. Prepare monthly summary report on disability claims; conduct bi-annual review of all long-term disability claims. Education: Bachelors degree in NursingYears of Work Experience:At least 2 years of disability case management experience License or Certification: Registered Nurse (RN)Desired Skills: • Positive Attitude, Ethics and International Values which support our company’s values, and a healthy, high performance culture• At least 2 years of Ohio workers compensation claims administration experience• Active certification with CCM or CDMS designation• Cross functional knowledge of HR and medical operations• Familiarity with appropriate provisions of the FMLA• Knowledge of Internationals disability programs, union agreements, and dispute resolution procedures• Ongoing expertise in HIPAA requirements and applicability to disability claims management• Working knowledge of transitional return to work programs• Strong PC skills in Microsoft Office Applications• Excellent interpersonal skills• Ability to work independently but perform well in a team environment