Workers Compensation Business Development Clinical Evaluator

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🔥 32 minutes ago

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Logo of Brookhaven Hospital

Brookhaven Hospital

51 - 200 employees

🏥 Healthcare

👥 B2C

Healthcare • B2C

Brookhaven Hospital is a comprehensive mental health center in Tulsa, Oklahoma that houses the Neurologic Rehabilitation Institute (NRI). It provides inpatient and community-based neurobehavioral rehabilitation and complex care programs for adults with traumatic brain injury (TBI), dual diagnosis, addictions, depression, anxiety, and other behavioral and neurologic disorders. The facility offers specialized programs including short-term brain injury rehabilitation, military programs, secure treatment, and accepts Medicaid Brain Injury Waiver, workers' compensation, and insurance; it is accredited by CARF and JCAHO.

📋 Description

• Providing professionals with information about hospital programs • Creating opportunities for training and education of professionals • Developing contracts for service between the hospital, Workers Compensation referral and payer sources • Educating insurance, case management, and medical professionals • Conduct evaluations of potential BNN patients in off-site locations, (remote and in-person) • Provide families of potential BNN patients with advocacy, support and education • Coordinate admission of potential patients with outside referral source and funding • Coordinate administrative aspect of funding approval process as required by Workers Compensation insurance payers • Initiate “prospecting” of potential new referral and funding sources through ongoing outreach activities • Maintain existing relationships through ongoing contacts and customer service • Represent BNN at area, regional and national conferences to maintain and grow presence in the brain injury community • Coordinate conference activity with BNN speakers to maintain exposure • Represent BNN program as assigned functions, meetings, and activities • Perform other duties as assigned by supervisor

🎯 Requirements

• Must have a bachelor’s degree • RN preferred • Eligibility or maintenance of CRNN/CCM certification and credentials • Minimum of 3-5 years experience • Must have knowledge of specialty healthcare systems related primarily to mental health, TBI, neuro-rehabilitation, disability, and case management practices • Knowledge of Workers Compensation and reimbursement issues • Competent to administer, score and interpret required psychometric instruments, conduct face-to-face evaluation with a person with a severe brain injury; and review and integrate medical and rehabilitation information for the purpose of patient assessment and admissions consideration • Must possess a valid driver’s license

🏖️ Benefits

• Guaranteed Base Salary • Flexible Hours with the ability to manage your daily schedule (Monday-Friday) • Medical, Dental and Vision insurance: Low Cost options available • 401K with company match and 3 year vestment period • Holiday Pay • Tuition Reimbursement • Paid Time Off - 18.5 hours earned per month • Company paid Life insurance • Patient Advocacy

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