WellSpan Health FMLA Utilization Management Nurse (RN) in York, Pennsylvania
Full time (80 hours biweekly)
Monday - Friday
Under the general supervision of the Manager-FMLA Services, manages leaves of absence under federal and state laws and employer policies. Acts as a liaison between employer, employee and healthcare providers.
Duties and Responsibilities:
1 Manages intermittent, continuous and client specific leaves of absences.
2 Determines eligibility under federal and state requirements for leaves submitted.
3 Reviews medical leave documents provided by employee and health care provider.
4 Determines the duration associated with the leave based on the information given by the healthcare provider.
5 Communicates approvals, denials, leave extensions, and other information regarding the leave to the employee and employer.
6 Manages leaves that are concurrent with short term disability and workers’ compensation.
7 Processes all leaves within the specific timeframes outlined by the regulations and WellSpan guidelines.
8 Assists with the collection and analysis of utilization patterns and denied cases.
9 Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).
10 Coordinates requests to maintain ADA compliance.
Minimum Education: Associate's Degree
Minimum Experience: 2 - 3 years
Pref Field Of Expertise: Experience working in Human Resources with specific responsibility for leave of absence administration or management preferred
Req Cert/Registration: Registration and current RN license in PA
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