REGISTERED NURSE-PROGRAM COORDINATOR
Summary
Coordinate workers’ compensation claims by reviewing medical records, processing disputes, and ensuring compliance with Louisiana’s treatment guidelines.
About this Job
Office of Workers’ Compensation
Division: Medical Services
Location: East Baton Rouge ParishLouisiana Works transforms lives and drives prosperity by putting people at the center of everything we do. We provide one seamless door where individualized solutions create new possibilities, proving that when government works for people, Louisiana works for everyone.
Learn more about Louisiana Works
The Registered Nurse-Program Coordinator will display comprehensive knowledge of nursing practices, medical terminology, and applicable laws and regulations governing workers’ compensation claims. In addition, the RN Program Coordinator will manage medical treatment guideline disputes submitted to the OWCA.
The Office of Workers’ Compensation Administration (OWCA) in Louisiana oversees the enforcement and administration of workers’ compensation laws, aiming to support early return-to-work efforts and improve workplace safety. The department manages disputed claims, conducts hearings, reviews medical treatment disputes, and investigates fraud through collaborative efforts like the GAME ON task force.Minimum Qualifications
- Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license issued by a Nursing Licensure Compact (NLC/eNLC) state to practice as a registered nurse plus one of the following:
Three years of experience as a licensed registered nurse; OR
A bachelor's degree in nursing plus two years of experience as a licensed registered nurse; OR
A master's degree in nursing or public health plus two years of experience as a licensed registered nurse; OR
A doctorate in nursing or public health plus one year of experience as a licensed registered nurse. Job Specification
The official job specifications for this role, as defined by the State Civil Service, can be found here.
Job Duties and Other Information
Job Details
- Analyze and review all claims, medical records, and documentation to evaluate the necessity, appropriateness, and level of medical services provided.
- Contact and confer with providers, carriers, and other entities to obtain additional documentation such as progress reports, operative reports, and procedure codes.
- Maintain and update case files, closing them in accordance with departmental policy.
- Review and process Medical Treatment Guideline (MTG) requests, coordinating with the Medical Director to ensure timely issuance of determinations.
- Coordinate with stakeholders on matters involving medical services or disputes related to the reimbursement schedule
Position Specific Details:
Location: Baton Rouge, La
Appointment Type: Probational / Job Appointment / Promotional / Detail to Special Duty
How to Apply:
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their applications to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
* Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
All applicants selected for employment must submit to drug screening and a background check.
Contact Information:
For further information about this vacancy, contact:
Kedrick Kennedy
kedrick.kennedy@la.gov
Louisiana Works is an equal employment opportunity employer and SAME agency that serves as a model employer for the recruitment, hiring, and retention of individuals with disabilities. Auxiliary aids and services are available upon request to individuals with disabilities • TDD# 800-259-5154.