L&I Coordinator

At Proliance Surgeons our patients come from all walks of life — and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliance a great place to work. Our unique experiences and perspectives help us deliver Exceptional Outcomes, Personally Delivered.
We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers. Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity. Be Part of Who We Are!

Position Summary
The L&I Coordinator will act as a liaison between the interested parties to the claim (Washington State L&I, Employer, Patient, and Physician) and ensure timely and effective transition of care. The goal of this program is to remove barriers and improve return to work outcomes for state funded injured workers. The ideal candidate will have a medical background, familiar with L&I claims and claims management.
Key Duties and Responsibilities
The key duties and responsibilities of the L&I Coordinator include, but are not limited to:

• Coordinate communication between the patient, medical providers, employer, and Washington State L&I to ensure clear understanding of the care plan and smooth transitions through all phases of treatment and recovery.
• Support patients directly by helping them navigate their workers’ compensation claim, explaining care processes, and answering questions related to treatment and return-to-work planning.
• Document all interactions and care coordination activities in L&I’s web-based Occupational Health Management System (OHMS) in a timely and accurate manner.
• Identify claims at risk for delayed recovery or long-term disability by reviewing:
• The patient’s claim file and treatment history
• Risk factors flagged by the Structured High-risk Screening Criteria (SHSC)
• Risk alerts identified in OHMS

Education/Experience

• High School diploma or the equivalent required
• Certified Medical Assistant
• Professional experience in the field of occupational therapy, physical therapy, vocational rehabilitation counseling, workers’ compensation, claim management/coordination, or another related field.
• Experience with Washington’s workers’ compensation system that required effective, regular communication with interested parties regarding medical procedures, terminology and claims processes.
• 3 years’ experience providing customer service, solving problems and building professional alliances and trusting relationships with all interested parties.

Knowledge, Skills and Abilities

• Proficient knowledge of medical terminology preferred at time of hire
• Superior customer service skills
• Strong leadership, training and mentoring abilities
• Promoting (leading by example) great interpersonal skills; modeling patience, composure and cooperation; working well with all patients, physicians and team.
• Advanced understanding of and Adherence to all safety, risk management and precautionary procedures (OSHA/WISHA), including the consistent respect for confidentiality (HIPAA)
• Efficient use of time, with attention to quality, detail, accuracy and completion; skilled in delegation and organization
• Ability to establish and manage multiple priorities, coordinate work activities and exercise initiative.
• Creativity and resourcefulness in addressing problems and opportunities and tenacity to see things through to solution
• Willingness and ability to be flexible with working varied hours, stepping in as a working leader as needed and dependable with attendance
• Ability to remove oneself personally from given situations, remaining objective.
• Demonstrate a learning attitude toward solving problems, using good reasoning and judgment
• Ability to provide feedback to improve performance
• Ability to adapt to change, delays or unexpected events while maintaining a positive mindset
• Self-motivated; able to work independently and collaboratively, following specific guidelines and procedures; measure self against standard of excellence, overcome obstacles and challenges, involving others when needed

Work Environment/Physical Demands
The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.