Job Description

We focus on being experts, not average. Come join a cohesive and energized team of trainers and clinicians who take pride in delivering the best care possible and are dedicated to transforming the health care experience. Case Manager position is in an occupational medicine setting. The Case Manager plays a vital role in managing all occupational injury and illness cases.

• About Industry Health Solutions:

We are a private occupational medicine practice focused on making a difference in the lives of our customers and their employees. For over 20 years, Industry Health Solutions’ staff have had a dramatic impact on patient outcomes. We attribute this to our technical competency, clinical excellence, attention to detail, compassion for people, quality staff, and determination to be the best. We are focused on solving healthcare problems for our clients through proactive problem solving, impeccable care, effective communication, timely reporting, and cost-saving case management.

Required Qualifications / Skills 

• Medical background required
• Preferred experience in occupational health and workers’ compensation.
• Excellent skills in communication, organization, empathy, and problem-solving  

Responsibilities

The Case Manager plays a vital role in managing all occupational injury and illness cases at IHS client locations. Working in close collaboration with the Occupational Health Unit (OHU), team members, Safety Officers, and the Workers Compensation Manager, this position ensures optimal care, effective claims management, and regulatory compliance.

Injury and Illness Case Management

• Manage and document workplace injuries and illnesses beyond initial care encounters.
• Enter case data into the Occupational Health Management (OHM) system.
• Collaborate with safety officers to clarify OSHA status of cases.
• Input claims into CINCH through the PMA website and maintain accurate records.

Claims Management

• Process workers’ compensation claims, including those involving:
• Prescription medications (issue temporary ID cards and notify adjustors).
• Team members seeking unauthorized outside medical care.
• Red Flag cases (initiate ISO claims reports and alert leadership).
• Referrals to external providers, specialists, or for diagnostic testing.
• Notify adjustors of key claim updates (e.g., medications, referrals, work status).

Appointment Coordination

• Schedule outside medical appointments and follow-ups.
• Ensure all demographic, claim, and injury information is provided to outside providers.
• Arrange interpreters and transportation, when necessary.
• Communicate appointments and work restrictions with supervisors and HR Business Partners (HRBPs).
• Ensure medical records, test results, and job descriptions are provided for outside care.

Ongoing Case Follow-Up

• Monitor medical progress through communication with providers and therapists.
• Update OHM documentation, especially when administrative support is unavailable.
• Track no-shows and follow up with internal and external providers.
• Maintain communication with ATCs and supervisors to ensure proper accommodation of restrictions.

Collaboration and Communication

• Build strong relationships with medical providers to facilitate quality care.
• Respond to subpoenas and legal requests with relevant medical documentation.
• Send and receive documentation from adjustors, attorneys, and internal stakeholders.
• Coordinate with the Workers Compensation Manager on claim strategy and resolution.
• Communicating lost time cases to Supervisor, HRBP, and Insurance company

Compliance and Reporting

• Track and report on team members with open claims who are terminated.
• Submit medical releases and schedule surveillance when needed.
• Provide invoices and documentation to PMA for reimbursement or case updates.

Location

Hatfield, Pennsylvania

Job Type

• Job Type : Full Time
• Hours : 8 hour shift

Benefits

• Medical
• Dental
• 401(k)
• Competitive salary
• Paid time off