• Guide and coordinate the work team by scheduling and assigning work; handle complex cases; facilitating meetings. Act as a resource for daily complex issues and problem resolutions and works with representatives of other departments to address issues in a timely and thorough manner.• Ensures team is managing workload on a daily basis and identifies deadlines for work that must be completed and assists for timely completion. Identifies needed policies with recommendations for implementation. • Performs routine audits. Represents team with meetings with employers. • Escalates issues/questions to management. Addresses issues brought up by providers/employers. • Activate new workers compensation member cases and review claims history and billing reports to ensure appropriate release and payment of medical bills pertaining to the injured worker.• Assist with the implementation of treatment plans, provide support for return to work and rehab requests, ect. and updating plans as needed and monitor open cases.• Consult with clinical staff to review provider treatment recommendations.• Advise employers how patients are doing and responding to all medical questions.• Obtain office visit notes/medical records and working with providers to attain other clinical information. • Approve prior authorizations for treatment.• Consult with worker’s compensation vendors regarding billing issues, reactivated cases, etc.

• Facilitate the administration and resolution of worker’s compensation cases for municipal workers.• Provide support for claims, return to work, and rehab requests, etc.• Maintain all treatment plan documentation.• Assist with the implementation of treatment plans, updating plans as needed and monitor open cases.• Consult with clinical staff to review provider treatment recommendations.• Advise employers how patients are doing and responding to all medical questions. • Obtain office visit notes/medical records and working with providers to attain other clinical information. • Approve prior authorizations for treatment.• Review claims history for appropriate release and payment of medical bills to the injured worker. • Research claims and coverage data; verify eligibility for payment purposes. • Review billing reports; ensure accuracy and appropriateness of payments to providers. • Consult with worker’s compensation vendors regarding billing issues, reactivated cases, etc.

• Conduct one-on-one interviews with patients diagnosed with COVID-19; Provide disease-specific info.• Assess signs and symptoms of COVID-19, as well as underlying health conditions.• Discuss symptom onset; determine time/dates for contact elicitation and exposure risk for close contacts.• Identify work, social, recreational, and community activities to ascertain who may have been exposed.• Elicit information about close contacts, including names, exposure dates and locating information.• Recommend ways to isolate and quarantine utilizing the guidelines by the state and CDC.• Review daily monitoring procedures with the patient in order to determine the infectious period. • Work with case managers to access support needs for maintaining health and compliance.• Notify contacts of their exposure, provide disease and transmission information.• Collect and record data on demographics, living arrangements, and daily activities.• Determine referrals requiring testing and facilitate arrangements.• Prepare in-depth reports and submit findings to the R.I. Dept. of Health for distribution to other states. • Collaborate with businesses impacted by COVID-19, including education and isolation protocols.• Authorized to train new case investigators. • Proficient in the use of Salesforce software, entering data from cases andmanaging various projects.

• Utilized the EPIC electronic medical record software for scheduling and storing patient records.• Performed administrative tasks including training, scheduling, patient communication. • Collaborated with clinical staff and providers; verified insurance coverage and insurance referrals. • Coordinated patient care and disseminated medical information between medical disciplines. • Prepared and distributed computerized statistical reports based on the department requirements. • Reconciled cash and credit co-payments; processed receipts; coordinated banking activities.

• Teamed with OpX staff on their ongoing Patient Experience Project. • Conducted an in-depth patient survey to measure the quality of care during their length of stay. • Surveyed patients hospitalized at Lifespan affiliates, i.e., RI, Newport, Miriam and Hasbro hospitals.• Collected, analyzed, and reported data/capture rates to management; set goals to improve rates.• Developed an education plan for stakeholders; supplied required data to stakeholders in the system.

• Performed a variety of cleaning duties within an assigned area of the hospital.• Practice standard and universal precautions to optimize personal and patient safety.