Job Description

About the Role:

Job Summary

The Leave Administration Clinical Specialist plays a critical role in the compassionate, compliant, and clinically sound management of employee leave by serving as the clinical resource for all medically related leave cases, including complex and escalated medical leaves.

This position will collaborate with the Leave Team, Employee Health, HR Leaders, and healthcare providers to ensure appropriate interpretation of medical documentation, determination of leave eligibility, and facilitation of employee return-to-work processes, all in alignment with NGHS values and core competencies.

Minimum Job Qualifications

• Licensure or other certifications: Active LPN or RN license in the state of Georgia.
• Educational Requirements: Associate's Degree
• Minimum Experience: Minimum 3 years of recent clinical experience, preferably in occupational health, case management, or hospital-based nursing.
• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications: Certification in Case Management (CCM), Disability Management (CDMS), or Occupational Health Nursing (COHN)
• Preferred Educational Requirements:
• Preferred Experience: Experience in leave administration, disability case management, or employee health within a healthcare organization. Experience working with leave or case management systems (e.g., AbsenceSoft, Workday, or similar)
• Other:

Job Specific And Unique Knowledge, Skills And Abilities

• Working knowledge of FMLA, ADA, and related medical leave laws and policies.
• Excellent critical thinking, communication, and organizational skills.

Essential Tasks And Responsibilities

• Serve as the internal clinical subject matter expert for medical leaves of absence (e.g., FMLA, ADA, Work Comp, Company leaves and short-term disability).
• Review and interpret medical documentation to assess leave eligibility and determine medically appropriate durations for leave, return-to-work dates, and accommodation needs.
• Collaborate with the Leave Administration Team to support timely and accurate processing of employee leave requests.
• Engage directly with employees and providers, when necessary, to clarify medical information or gather additional clinical documentation.
• Identify complex cases involving multiple conditions, repeat leaves, or accommodation concerns, and provide clinical insight to support compliance with FMLA, ADA and NGHS policies
• Escalate any concerns regarding potential leave abuse, incomplete documentation, or risk management issues to leave manager.
• Partner with Employee Health, HR Business Partners, Workers Compensation and department leadership to support smooth transition of employees returning to work.
• Assist in developing clinical protocols and workflows for leave case reviews within this newly created team.
• Maintain accurate, compliant, and confidential documentation in the AbsenceTracker leave management system in accordance with HIPAA and NGHS standards.
• Participate in training and education of leave administration staff on clinical aspects of leave, as needed.
• Ensure all licensing, certifications, past due training, yearly education, flu shots, and yearly TB/health assessment are complete before returning to work.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

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