Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual primary care and mental health services accessible in all 50 states. Transforming healthcare delivery with a patient-first approach, we prioritize convenient access to both in-person and virtual care, resulting in improved health outcomes and significant cost savings. Committed to inclusivity and collaboration, we foster a positive work environment and recruit exceptional talent to ensure expertise and compassion in healthcare delivery. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.

ABOUT THE JOB

The Injury Management Specialist is a specialized role focused on managing workplace injuries and workers’ compensation cases while driving operational excellence and compliance. This position is responsible for:

• Case Oversight & Tracking: Monitor and manage injury cases to ensure timely resolution and adherence to established care plans.
• Stakeholder Communication: Serve as a liaison between onsite health center teams, third-party administrators (TPAs), and healthcare providers to facilitate seamless coordination.
• Return-to-Work (RTW) Program Leadership: Champion Active RTW initiatives by aligning health and wellness strategies with site-specific job requirements to promote safe, timely, and sustainable outcomes.
• Compliance & Risk Management: Ensure adherence to legal, regulatory, and organizational standards related to workplace injuries and workers’ compensation.
• Innovation & Problem-Solving: Apply creative, outside-the-box thinking to overcome barriers, optimize care coordination, and enhance program effectiveness.

This role operates as a strategic partner, bridging clinical insights with operational priorities to support workforce health and productivity. Success in this position requires strong analytical skills, proactive communication, and the ability to develop innovative solutions that align with organizational goals.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Act as a check and balance within the care coordination process to permit key stakeholder engagement when care plans appear misaligned or require clarification—rather than serving as the primary point of contact.
• Prior clinical knowledge will be leveraged solely to understand case progression and facilitate effective communication with stakeholders; this role does not provide clinical oversight or make clinical decisions.
• Drive Active return-to-work initiatives by aligning health center services and employer-specific job requirements to support safe and efficient return-to-work processes.
• Collaborate with internal teams and external partners to resolve barriers to care and streamline communication.
• Apply innovative and creative approaches to problem-solving, ensuring that care coordination and return-to-work strategies meet both clinical and operational objectives.
• Monitor case progress and escalate issues that may impact outcomes, compliance, or return-to-work timelines.
• Maintain clear, accurate records and reports for all case related activities in alignment with company protocols. Support operational workflows, including scheduling, reporting, and compliance tracking, to enhance overall health center performance.

Case Initiation & Communication

• Contact injured employees and designated client leadership after a First Report of Injury (FROI).
• Maintain communication with employees, supervisors, and third-party partners (without providing clinical advice).
• Document updates and communications in case management systems.

Return-to-Work Coordination

• Track cases involving restrictions or modified duty.
• Complete and submit Return-to-Work Credit Forms.
• Maintain dashboards showing case status, appointments, and restricted duty timelines.
• Complete Transitional Work Assignments (TWAs) based on provider-documented restrictions.
• Partner with client leadership to identify suitable tasks aligned with restrictions (without interpreting medical data).
• Coordinate updates to TWAs after provider evaluations.

Collaboration & Meetings

• Attend case review meetings.
• Share updates and facilitate communication between operations and medical case managers.
• Flag prolonged or escalating cases for review (without making clinical recommendations).

Regulatory Reporting

• Submit required state workers’ compensation reports (e.g., missed time reporting).
• Ensure compliance with reporting timelines and confidentiality requirements.

Data Tracking & Metrics

• Develop and maintain dashboards.
• Provide updates to leadership on case trends and barriers.
• Support audits, performance tracking, and data validation.

Operations Communication

• Serve as a liaison between client workers compensation team and operations.
• Provide non-clinical guidance on injury prevention programs and transitional duty expectations.
• Ensure client leadership receives accurate information about restrictions and return-to-work status.

QUALIFICATIONS

Bachelor’s degree in Health Administration, Public Health, Human Resources, Nursing, or a related field and 5+ years of related experience, or equivalent combination of education and experience. Certified Occupational Health Nurse (COHN) preferred. Case Manager Certification, preferred.

DESIRED ATTRIBUTES

• Strong understanding of healthcare processes and terminology to effectively communicate with clinical and administrative stakeholders.
• Prior clinical knowledge will be leveraged solely to understand case progression and facilitate effective communication with stakeholders; this role does not provide clinical oversight or make clinical decisions.
• Familiarity with Return-to-Work programs, transitional duty processes, workplace accommodation practices, and employer-based health initiatives.
• Demonstrated ability to think creatively and implement innovative solutions in complex situations.
• Excellent organizational, communication, and problem-solving skills.
• Skilled in using spreadsheets to build reports, interpret data, and evaluate performance metrics, including KPIs and Performance Goals.
• Highly detail-oriented with a focus on accuracy and compliance.
• Ability to work collaboratively across multidisciplinary teams and external partners.
• Prior exposure to clinical environments is helpful for understanding case flow, but this role does not require clinical licensure or involve clinical decision making.

Pay Range: $75,000 - $95,000/yr

The actual offer may vary dependent upon geographic location and the candidate’s years of experience and/or skill level.

We are accepting applications for this position until a candidate has been selected. To apply to this position and learn more about open jobs at Marathon Health, visit our careers page.