Johnson - Parks v. D.C. Chartered Health Plan

925 F. Supp. 2d 102, 2013 WL 718775, 2013 U.S. Dist. LEXIS 27192
CourtDistrict Court, District of Columbia
DecidedFebruary 28, 2013
DocketCivil Action No. 2009-1492
StatusPublished

This text of 925 F. Supp. 2d 102 (Johnson - Parks v. D.C. Chartered Health Plan) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Johnson - Parks v. D.C. Chartered Health Plan, 925 F. Supp. 2d 102, 2013 WL 718775, 2013 U.S. Dist. LEXIS 27192 (D.D.C. 2013).

Opinion

MEMORANDUM OPINION

ROBERT L. WILKINS, District Judge.

This matter is before the Court on the defendant’s motion for summary judgment. 1 For the reasons discussed below, the motion will be granted in part and denied in part.

I. BACKGROUND

The plaintiff, a registered nurse, began her employment with D.C. Chartered Health Plan, Inc. (“CHP” or “the defendant”) on January 23, 2001. Plaintiffs First Amended Complaint (“Am. Compl.”) ¶¶ 14, 16; Def.’s Mem., Ex. 1 (Steinbach Deck), Ex. I (Objections and Responses of Defendant D.C. Chartered Health Plan, Inc. to Plaintiffs First Set of Interrogatories (“Def.’s Interrog. Resp.”) No. 3). 2 CHP, a managed care organization, participated in the D.C. Medicaid Managed Care Program. Statement of Material Facts As To Which There Is No Genuine Issue (“Def.’s SOMF”) ¶1. CHP’s Medical Director was Lavdena Orr, M.D., and Francis M. Smith was its Vice President and General Counsel. Id. In late 2004, Mr. Smith assumed duties previously assigned to Tracey Charles, the former Director of Human Resources. Plaintiffs Brief in Opposition to Defendant’s Motion for Summary Judgment (“PL’s Opp’n”), Ex. 2 (“Austin Aff.”) ¶ 11. Karen Morris, Director of Medical Management, Austin Aff. ¶ 15, was the plaintiffs supervisor, Def.’s SOMF ¶ 1.

The plaintiff was hired as a Utilization Management Coordinator whose “job [it] was to track Medicaid patients who were members of [CHP], to issue authorizations for medical care in hospitals and other health care facilities, and to keep timely ..., accurate and detailed records of ... members’ medical treatment in CHP’s computer tracking system for insurance authorization purposes.” Def.’s SOMF ¶ 3. 3 Nurses were particularly useful in *104 this role “because they understand medical/clinical activities,” and most of CHP’s utilization review (“UR”) nurses “have hospital experience [and] understand how hospitals operate.” Def.’s Mem., Ex. B (“Smith Dep.”) at 47:20-48:2. The parties do not dispute that a UR nurse was expected to input patient information in a timely manner, which CHP defined as within 24 hours. Id. The plaintiff counters that CHP had a “goal that medical records be entered within twenty-four hours of receipt from a hospital.” Pl.’s Opp’n, Pl.’s Aff. ¶ 2 (emphasis added). 4

Over time, CHP’s “business needs changed in many respects.” Def.’s Interrog. Resp. No. 14. In the early years of the plaintiffs employment at CHP, UR nurses ordinarily did not make onsite visits to hospitals. Id. During the 2001-2008 time period, however, UR nurses “frequently traveled to hospitals or other health care facilities to obtain medical records and other relevant information” about CHP members and their care. Def.’s SOMF ¶ 4. By 2004, UR nurses — including the plaintiff — were required to make on-site visits to participating hospitals. Def.’s SOMF ¶ 5; Def.’s Interrog. Resp. No. 14.

The plaintiff had “difficulty walking,” Def.’s Mem., Ex. A (“PL’s Dep.”) at 31:19, and she was unable “to [walk] to and from the parking lot,” id. at 31:20, or “walk in a hospital down the long corridor[s],” id. at 31:21-22, or “go to multiple floors seeking ... patient[ ] charts,” id. at 32:1-2. The plaintiff requested, and CHP approved, id. at 40:21-41:3, an arrangement such that the plaintiff “continue[d] doing the same job” from CHP’s office, id. at 32:6-9. She was the only UR nurse who did not make onsite visits to hospitals. Id. at 32:16-18. Instead, she obtained patient information by telephone, fax, or computer. Id. at 32:19-33:2. Hospitals with which CHP had no contract (non-participating hospitals or “non-pars”) did not allow onsite reviews, and the plaintiff conducted these reviews from the office for patients at those facilities. Id. at 46:11^47:4; see Am. Compl. ¶ 17.

Because the plaintiff was not conducting onsite visits, she was available in the office full time. 5 Def.’s SOMF ¶ 6. In September 2002, the plaintiff was promoted to Team Leader of a group of three to five UR nurses. Am. Compl. ¶¶ 18-19. The “team was responsible for reviewing patient charts to confirm that continued stays in the hospital were necessary for individual patients,” id. ¶ 19; see generally PL’s Dep. at 47:20-51:8. She was responsible for maintaining contact with nurses on her team who were working onsite and for monitoring their charts. PL’s Dep. at 47:20-48:7. She also monitored the pa *105 tient census, patients with long hospital stays, reinsurance, and patient transfers, and she performed UR functions for patients at non-pars. Id. at 48:21-49:11; Def.’s SOMF ¶ 6. In addition, the plaintiff was “responsible for holding weekly face-to-face meetings with UR staff to coordinate and track patient care.” Def.’s SOMF ¶ 6. The plaintiff performed the duties of her Team Leader position, including daily contact with team members, from the office by telephone, fax and computer. Am. Compl. ¶ 20; Pl.’s Opp’n, Ex. 1 (“PL’s Aff.”) ¶ 4.

Prior to her employment with CHP, the plaintiff sustained “a back injury that impacted her ability to lift and walk, as well as her overall mobility.” Am. Compl. ¶ 15. In late December 2003 while the plaintiff was at the CHP office, her “back injury became severely aggravated.” Id. ¶22. The plaintiff explained that her “back had locked up,” PL’s Dep. at 76:14, causing “excruciating pain ... down [her] leg and ... buttocks,” such that she “had great difficulty walking[ ] and ... couldn’t stand at all,” id. at 77:19-22. The plaintiff was out of the office on sick leave for six weeks. Def.’s Interrog. Resp. No. 6; PL’s Dep. at 82:5-10, 261:2-5, 262:13-15.

The plaintiffs condition allegedly “resulted in several impairments that substantially affect several major life activities, including but not limited to walking, standing, and lifting,” and “prevented her from working on the floor of any hospital.” Am. Compl. ¶ 24. In January 2004, the plaintiff requested “that she be allowed to continue her employment from home.” Id. ¶ 25; Def.’s Mem., Ex. J (Responses to Defendant’s Interrogatories (“PL’s Interrog. Resp.”) No. 4). CHP approved her request. 6 Am. Compl. ¶ 26; Def.’s Interrog. Resp. No. 4; PL’s Dep. at 262:10. The plaintiff thus was excused not only from attending weekly meetings in the office, but also from making onsite visits to hospitals. Def.’s Interrog. Resp. No. 14. While working from home, the plaintiff allegedly “was able to complete the essential tasks of her employment.” Am. Compl. ¶ 27. Although the plaintiff believed that the work-from-home arrangement “would be short term,” PL’s Dep. at 83:9-10; 97:17-22, she did not return to the office, id. at 83:14-16.

According to the plaintiffs treating physician, Dr. Smith S.

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Bluebook (online)
925 F. Supp. 2d 102, 2013 WL 718775, 2013 U.S. Dist. LEXIS 27192, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-parks-v-dc-chartered-health-plan-dcd-2013.