Technical Medical Specialist (PN )

At the State of Ohio we take care of the team that cares for Ohioans. We provide a variety of quality competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits visit ourTotal Rewards website! Our benefits package includes:

• Medical Coverage
• Free Dental Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off including vacation personal sick leave and 11 paid holidays per year
• Childbirth Adoption and Foster Care leave
• Education and Development Opportunities (Employee Development Funds Public Service Loan Forgiveness and more)
• Public Retirement Systems (such as OPERS STRS SERS and HPRS)&Optional Deferred Compensation (Ohio Deferred Compensation)

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

***Chosen candidate will have the option to choose a permanent reporting location throughout the state. BWC offices are located in the following locations: Columbus Cambridge Canton Cleveland Springdale Toledo or Youngstown.***

BWCs core hours of operation are Monday-Friday from 8:00am to 5:00pm however daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWCs seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.

What Youll Be Doing:

• Drafts guidelines policies and procedures related to artificial appliances authorizes and manages self-insured prosthetic & orthotics requests and multi-disciplinary evaluation (MDEs).
• Serves as the coordinator of the SI prosthetic and orthotic program and performs outreach education and training to vendors providers MCOs and self-insured (SI) employers and (MDE) clinics.
• Serves as a coordinator to perform analysis of medical support operations functions reviews and drafts revisions to policies and procedures related to BWC medical claim support services to assist with improving efficiency timeliness and outcomes of these services.
• Provides quality assurance audits or reviews to evaluate medical support services including but not limited to nurse referral response referrals to physician review quality assurance of physician reviews and examinations and catastrophic nurse advocate services to ensure efficient and consistent processes that improve clinical outcomes for injured workers; prepares reports summarizing quality assurance findings.
• Assists with the ongoing analysis and development of new performance metrics in support of quality assurance and process improvement; analyzes data and prepares reports for key performance measures; assists with monitoring trends to document improvements with consistency timeliness and outcomes for the nurse medical support functions.

EEO & ADA Statement:
The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law state law and any effective executive order.

The Ohio Bureau of Workers Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable request reasonable accommodations related to a disability pregnancy or religion please contact the ADA mailbox

Salary Information:
Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months assuming job performance is acceptable. Thereafter an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.

Transportation:
Position may require travel; therefore persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle.

Educational Transcripts:
For any educational achievements to be considered during the screening process you must at least attach an unofficial transcript that details the coursework you have completed.

All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.

Background Check:
Prior to an offer of employment the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services activities programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

A Little About Us:
With roughly 1500 employees in 7 offices across Ohio BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers.
For Ohio employers we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries.

Our Culture:
BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups participate in online forums discussing societys impact on our services and workplace and learn about how different perspectives can improve leadership skills.

Our Vision:
To transform BWC into an agile organization driven by customer success.

Our Mission:
To deliver consistently excellent experiences for each BWC customer every day.

Our Core Values:
One Agency Personal Connection Innovative Leadership Relentless Excellence.

What our employees have to say:
BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:

• BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.
• I have worked at several state agencies and BWC is the best place to work.
• Best place to work in the state and with a sense of family and support.
• I love the work culture helpfulness and acceptance Ive been embraced with at BWC.
• I continue to be impressed with the career longevity of our employees their level of dedication to service pride in their work and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39) and as outlined in the posting.

To Qualify You MustClearlyDemonstrate:

Required Experience and/or Education:

• Certified medical coder in current procedural terminology (CPT) hospital coding or current ICD coding system AND 12 mos. exp in writing medical policies & procedures for medical provider or insurance company AND 12 mos. practical exp in health care field.
• Or completion of undergraduate program core coursework in pre-medicine allied medical field nursing or related field of study AND 12 mos. practical health care field AND 12 mos. writing medical policies & procedures for medical provider or insurance company.
• Or completion of graduate core program in health care administration AND 12 mos. medical policy development for medical provider or insurance company.
• Or equivalent of Minimum Class Qualifications for Employment noted above.
  

MAJOR WORKER CHARACTERISTICS:
Knowledge of medical/rehabilitation services; health care coverage & reimbursement techniques; health care
administration; cost containment measures; statistical analysis; workers compensation medical policies & insurance
industry standards*; supervisory principles/techniques*.

Skill in operation of personal computer*.

Ability to understand somewhat abstract field of study (i.e. health care); write & edit technical manuals & instructions; create complex reports using computer software; gather collate & classify information about data people or things.
(*)Developed after employment.