A Little About Us:
With roughly 1,500 employees in seven 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 strives to maintain an inclusive workplace.We begin by being an equal opportunity employer.Employees can participate in and lead employee work groups, participate in on-line forums 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.

BWC’s 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 BWC’s 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. The report in location for these positions will be determined based on who is ultimately recommended.

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 I've 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.

If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!

What You’ll Be Doing:

·Responsible for completing assigned nurse referral tasks for clinical recommendations that are supported by the medical information based on critical decision making for: initial allowance(s), additional allowance(s), physician review/exam referrals, quality assurance reviews, ICD-10 coding and description modification requests, and special medical functions for death claims, permanent and total disability claims, etc.

·Reviews & analyzes subjective & objective evidence for medical indicators to determine if they were caused and/or have not been caused by the workplace injury/illness; identifies & reports claims situations where further clarification &/or development of medical evidence is required; and identifies claims situations where there is a need for physician review or exam.

·Serves as clinical subject matter expert on BWC medical service specialist (MSS) policies and procedures to internal and external parties to the claim and performs related duties as required.

·Maintains data tracking processes and adheres to timeliness and quality standards for work performed; participates in quality reviews as assigned.

·Participates in problem solving for medical or claim barriers by collaborating as part of a multidisciplinary team with BWC Claims, Managed Care Organization (MCO), injured worker, employers, and/or providers for optimal claim outcome for recovery and return to work (if feasible).

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 our Total 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.

Current & valid license to practice professional nursing as Registered Nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section 4723.03 of Ohio Revised Code; 6 mos. exp. as licensed Registered Nurse.

Job Skills: Nursing

Major Worker Characteristics:

Knowledge of nursing; federal & state laws; BWC policies & procedures*; case management strategies; ICD & ICDM codes; interviewing; public relations; medical techniques, procedures, & definitions.

Ability to: interpret diagnoses, assess limitations & write accurate medical reports based on claim data; read & comprehend medical charts, manuals & journals; medical policy & guidelines; handle routine inquiries from & contacts injured workers, employers, physicians, attorney’s, government officials, providers, or representative & general public.

Skill to: independently review medical bills to analyze costs & deem appropriateness

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.

**This position does not offer supplemental or shift differential pay.**

BWC 1199 Selection Rights
This position shall be filled in accordance with the provisions of the 1199 Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.

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.

Valid R.N. License
This position requires a current & valid license to practice professional nursing as registered nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section 4723.03 of Ohio Revised Code.

To remain in this classification after employment, incumbent is required to renew license to practice as a registered nurse on a biennial basis.

Background Check & Drug Test
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.

All final applicants tentatively selected for this position may be required to submit to urinalysis to test for illegal drug use prior to appointments. Testing will also be performed for the presence of marijuana. An applicant with a positive test shall not be offered employment unless the applicant submits medical documentation of legally prescribed medications or a recommendation for medical marijuana.

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.

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.