Program Specialist 3 2013-01117
State of Washington - Olympia, WA

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Washington State Department of Social and Health Services Our Vision is: Safe, healthy individuals, families and communities Our Mission is: The Department of Social and Health Services will improve the safety and health of individuals, families and communities by providing leadership and establishing and participating in partnerships. Our Values are: Excellence in Service Respect Collaboration and Partnership Diversity Accountability Note: The salary indicated on this announcement reflects the three per cent salary reduction beginning July 1, 2011 through June 30, 2013.

Acts as the Department’s expert on Industrial Insurance claims. Acts as the central point of contact between DSHS and the Department of Labor and Industries on workers’ compensation claims. Ensures compliance with Industrial Insurance Laws, Title 51, and Collective Bargaining Agreements in relation to industrial injuries, the Occupational Safety and Health Act reporting requirements, and the Department’s Transitional Return to Work Program. Exercises independent judgment and independently monitors, analyzes, and evaluates claims management activities that include but are not limited to assessing/determining the Department’s position on claim validity, protests on claim allowance, claim payments, and medical treatment; advocates for benefits for employees; coordinates services to expedite injured employees return to work. Assists Department management by providing training/consultation on injury claims, ensuring Administrative Policy 9.10 Transitional Return to Work (TRTW) is followed. This position includes applying for Stay at Work Program benefits for qualified employees and monitoring assault benefits for eligible employees of institutions, facilities, and offices. Plans, prioritizes, coordinates, and implements processes and actions in the field to reduce the frequency and severity of work related incidents. Works directly with employees, supervisors, medical providers, vocational counselors, and the Department of Labor and Industries (LNI) to return employees to work. Communicates in writing with injured workers and their supervisors the employee’s rights/responsibilities and expectations when injured on the job. Maintains communication with supervisors and employees. Contacts and maintains a working relationship with Department’s injured workers, supervisors, medical providers, vocational counselors and other interested members of the public to return injured employees to work and resolve claims as safely and quickly as possible; ensures all appropriate injured workers return to full duty or light duty work. Maintains data related to caseload such as caseload size, claims closed, compensation/non-compensable claims, and visual management of work completed in accordance with work expectations for delivery of quality and timely work. Uses RiskMaster diary to manage assignments. Provide comprehensive claim management by actively working each claim at a minimum of every 30 days. Performs routine intake, processing and management of compensable and non-compensable workers’ compensation claims. This includes working with employees, supervisors, medical and vocational providers, and the Department of Labor and Industries staff; ensures all actions are documented in RiskMaster; ensures all Stay at Work (SAW) reimbursement requests are log on SharePoint; monitors claims at regular 30 day or less intervals; consults with medical providers regarding workers medical restrictions; provides quality services that resolves claims in a timely manner; tracks missed work days by employee/facility (mental health facilities) for Occupational Safety and Health Administration (OSHA) requirements; advises Department facilities, area managers, and higher level administrative staff of aspects of the claims management programs. Assist site supervisors to develop light duty job descriptions and job analyses when needed to document the physical and or mental requirements of an employee’s position; works directly with medical providers on understanding and accommodating an employee’s restrictions. Arranges for employees’ work station evaluations; processes job modifications for eligible employees.

REQUIRED SKILLS AND ABILITIES: Bachelor’s Degree and two years of Washington State Industrial Insurance Worker Compensation experience working as a claims manager and/or adjudicator or related claim management experience with demonstrated ability to provide comprehensive claim management with a caseload of 100 plus claims. Must have current knowledge and experience working with Title 51 RCW Industrial Insurance. Must be able to demonstrate the knowledge and ability to utilize clear writing and “plain talk” techniques. Communicate effectively both verbally and in writing; and be proficient in various computer programs and also have the ability to learn new computer programs used to manage industrial insurance claims. DESIRED SKILLS AND ABILITIES: Knowledge of DSHS programs and services. Knowledge and experience working with the RiskMaster web-based computer program.

Supplemental Information:
APPLICATION INSTRUCTIONS: To be considered for this position, please attach the following: -A letter of interest specifically addressing the qualifications listed in this job announcement, -A current chronological resume, and -Three professional references with current contact information.

PLEASE NOTE IMPORTANT INFORMATION ABOUT THIS RECRUITMENT You may NOT reapply to this posting for 30 days Please note that initial screening will be solely based on the completeness of application materials submitted and the contents and completeness of the “work experience” section of your application in NeoGov . A resume will not substitute for the work experience” section of the application. The information provided in the work experience section must support your selected responses in the supplemental questions. Responses not supported in the work experience and/or education section of the NeoGov application will disqualify you from consideration for employment in this position. All higher education must be accredited and recognized by the Council for Higher Education (CHEA) and/or the United States Department of Education (USDE) The Washington State Department of Social and Health Services is an equal opportunity employer and strives to create a working environment that encourages creative leadership and teamwork, and respects cultural and ethnic diversity of its staff and those who receive our services. Women, racial and ethnic minorities, persons over 40 years of age, and disabled Vietnam-Era Veterans are encouraged to apply. Persons of disability needing accommodation in the application process, or those needing the recruiting memo in an alternative format may call (360) 725-5877. Applicants who are deaf or hard of hearing may call the Washington Relay Service by dialing 7-1-1 or 1-800-833-6388.

If you have questions regarding this recruitment, please contact Linda Evans Miller at (360) 725-5877 or by e-mail at .

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