Click the links below to learn about each practice area’s approach to helping healthcare clients.


  • INTRO
  • LABOR
  • LITIGATION
  • BENEFITS
  • WORKERS' COMP
  • HR


More than Words: Providing a cure for your workplace challenges.

Employers in the HealthCare Industry are increasingly challenged to manage under conditions where employment laws are changing, unions are looming, workers’ compensation risks are growing alongside the costs, and litigation can spiral out of control. At Millisor + nobil we understand these unique challenges and have tailored our practices to help you find a cure for your employment problems.





Contact us today to find out more.


Labor Coverage

A growing number of unions, including those serving RNs, LPNs, STNAs, and support staff, such as maintenance and housekeeping workers, are devoting substantial resources to organizing (and representing) the health care industry’s direct health care providers. As the health care sector continues to expand and our manufacturing base recedes, unions like the SEIU, Nursing Associations, and even the Teamsters are increasingly engaged in conflicts over representation in the industry.

We’ve negotiated thousands of contracts, eliminated hundreds of unions, and helped employers prevail in union elections across the region and nation. We know what works and what doesn’t…but most of all, we know that union problems are business problems, and we’ll help you find a solution that continues to allow you to provide efficient and critical health care services.

Staying Union Free
We recognize that satisfied employees are productive employees; that it’s better to be pro-employee than anti-union; and that the best way to ensure you don’t lose a union election is to make sure that you never have one. These basic principles are the foundation upon which we’ve built our union prevention program, and our proven strategies will help ensure you keep a union-free workplace.

With some form of the Employee Free Choice Act (“EFCA”) on the horizon, preventive measures are more important than ever for health care providers. Providing the right supervisory training, revisiting your employment policy design, and conducting unionization vulnerability assessments now are essential steps that can help ensure you stay union-free. In the past 33 years, we’ve helped hundreds of clients stay union free and we can do the same for you, before EFCA impacts your workplace.


Managing With a Union
We believe in actively managing labor relations issues instead of reacting to them. In a union environment, proper management can allow you to maintain control of your business and continue to work toward improved quality and efficiency. Whether we’re negotiating collective bargaining agreements, assisting you with contract administration, or representing your company in grievances or arbitrations, we actively manage your labor issues to minimize or avoid problems in the future.

Collective Bargaining. In the course of negotiating thousands of collective bargaining agreements, our labor attorneys have learned to be firm, but fair. We are tough, but not overly confrontational, developing solutions while preserving the relationship between you and the union.

Contract Administration. This ongoing process includes assistance with interpretation and implementation of your labor contract, ensuring that any action you take, such as layoffs, promotions or discipline, is in compliance with the contract and can be successfully defended, if necessary.

At every step along the way, the labor attorneys at millisor + nobil are looking to add value to the relationship we have with our clients. Let us earn the right to help you meet the unique challenges you face as an employer in the healthcare industry and work in partnership with you to achieve your business objectives.



Our attorneys work together to meet your needs by integrating our areas of expertise in a cost-effective, efficient manner. That’s the power of
millisor+nobil’s Heathcare + approach.

Labor + HR
Staying Union-Free in the healthcare industry requires an increasingly dedicated commitment from management. Our Human Resources Group, comprised of experienced attorneys with HR management and labor law experience, can help. Contact us for help assessing your vulnerability to union organization and implementing a practical program uniquely tailored to help you maintain your union-free status.

Labor + Employment Litigation
Labor unions often generate increased employee awareness of employment laws, including the FMLA, ADA and state and federal discrimination statutes, as well as a willingness to pursue these claims outside the union contract. Our Employment Litigation Group employs a practical and business-focused approach to solving employment disputes and getting you back to your business of providing healthcare to your patients, residents and community.

Labor + Employee Benefits
Virtually every labor contract, negotiation, or union organizing campaign impacts your employee benefit program. Whether your immediate objective is eliminating or curtailing expensive retiree obligations, assessing and resolving withdrawal liability, or simply navigating your ERISA obligations, our Employee Benefits Group will assist you in developing a cost-effective, competitive and legally compliant welfare and pension benefit program for your union workforce – or the workforce you want to keep union-free.

Labor + Workers’ Compensation
Whether your healthcare workforce is organized by a union or union-free, effective management of labor costs means confronting the unique risks that can drive up workers compensation costs for healthcare providers. Whether these risks are the result of exposure to infectious disease, combative patients, toxic chemicals or injuries sustained while lifting and transporting patients, our Workers’ Compensation Group will lower your costs. Our unique approach focuses on prevention, establishing control, getting claimants back to work and aggressively managing and closing workers’ compensation claims and lawsuits.


Litigation Coverage

Employment litigation in the health care industry often involves unique factors that go beyond standard employment litigation. Effective defense of health care employers frequently requires specialized knowledge of applicable federal and state regulations, and the various licensure requirements affecting physicians, nurses, and other health care professionals. In addition, knowledge of acceptable patient care practices is critical when an employment decision turns on ineffective performance.

The Litigation Group at millisor + nobil has extensive experience working in the context of hospitals, nursing homes, home health care, and other health care-related environments. Hallmarks of our results-driven approach to litigation include:

  • Alternative Dispute Resolution (ADR)
    The alternative dispute resolution programs we design can help you avoid the significant costs and risks associated with traditional employment litigation in the court system.

  • Litigation Plan Development
    We develop a comprehensive strategy designed to achieve your objectives, tie it to measurable tactics, and include a realistic budget and status reports so that you are prepared and informed, from start to finish.

  • A Personal Touch
    We’ll assemble a team with the right mix of skills and expertise, and you will have 24/7 access to them with emails and telephone calls returned the same day.

  • Tailor-Made Tactics
    One size does not fit all. We customize our discovery tactics and motion practice to position your case for a reasonable settlement demand or judicial disposition at the earliest opportunity when that is your goal.

  • Real Value
    We sensibly staff each case, typically with a team of one partner, one associate and one paralegal. We’ll assign all litigation tasks matched to the skills of your team members to maximize value to you, while avoiding any duplication of valuable time. Finally, all fee bills are reviewed and analyzed to ensure effective and efficient representation.

  • Long Term Partnership
    We invest in your business. After each case is resolved, we’ll “break down the game film” with a post case analysis at no charge to you with the goal of recommending ways to manage your risks and protect you from similar lawsuits. We also welcome your feedback about our representation to ensure we are equipped to meet the future needs of your business.



Our attorneys work together to meet your needs by integrating our areas of expertise in a cost-effective, efficient manner. That’s the power of millisor + nobil’s Heathcare + approach.

Litigation + Workers’ Compensation
In the context of defending claims such as disability claims and intentional torts, it is necessary to properly respond to filings the plaintiff has made through the Workers’ Compensation system. millisor + nobil’s Workers’ Compensation Group assists employers in managing claims that might result in other types of employment claims.

Litigation + HR
Effective HR policies can be used to defend potential litigation claims. millisor + nobil’s HR Group assists employers in developing HR policies and practices designed to minimize litigation and to effectively defend those claims that are filed.

Litigation + Employee Benefits
Employment claims often involve issues relating to how an employer has treated an employee under various benefit plans. millisor + nobil’s Employee Benefits Group assists employers with developing effective plans and interpreting legal and regulatory changes.

Litigation + Labor
When a claim is made by an employee in a unionized workforce, issues under the collective bargaining agreement must often be considered. millisor + nobil’s Labor Group has extensive experience in developing union contracts that avoid costly litigation.



Benefits Coverage

Employee benefits are most commonly considered to be tax matters, but that's only part of the story. While we are skilled in handling all tax aspects of employee benefits, we also understand their impact on your business, and how you use them to attract and retain the best employees. So while employee benefits can be taxing, it truly is much more than that. At millisor + nobil, we believe it's about working with you to develop long term plans that meet your benefits objectives, so that you can focus on providing the best care to your patients.

We understand that the provider / patient relationship is a critical component of individualized care. We take a similar approach to our relationships with clients, because we customize our strategies and solutions to address your specific needs and deliver exceptional value.

millisor+nobil is uniquely equipped to be your employee benefits partner. Consider what we have to offer:

  • We take a multi-disciplinary approach, combining tax expertise with labor/employment and HR experience to develop solutions to your retirement and medical benefits problems. In conjunction with our workers’ compensation team, we can assist you with wellness programs to keep your employees healthier and reduce your healthcare costs.

  • Our employee benefits attorneys have the skills and expertise to perform a full top-down analysis. In addition to telling you what the law is, we'll tell you what the numbers are — and what they mean to your business.

  • From accounting actuaries to insurance brokers, we will work effectively with your other advisors to help you create a low-cost solution. We can perform many of the services offered by other benefits professionals, so you have the option to consolidate with us. However, we often work closely with our clients’ full network of business professionals to provide creative, multifaceted solutions on your behalf. Our ultimate goal is to minimize your cost and risk while maximizing your success.

  • We will give you clear estimates and project budgets for both money and time, so you can focus on providing top notch patient care.




Our attorneys work together to meet your needs by integrating our areas of expertise in a cost-effective, efficient manner. That’s the power of millisor + nobil’s Heathcare + approach.

Benefits + Labor
Employee benefits are one of the most financially challenging issues for employers, adding significant costs to a company’s bottom line and playing a pivotal role in labor negotiations. millisor + nobil’s Benefits Group works closely with our Labor Group to design efficient benefit structures for collective bargaining agreements and maximize cost-saving measures.

Benefits + Litigation
While employee benefits matters do not frequently involve litigation, our Litigation Group can assist you when a benefits claim does reach court, helping you achieve optimal results.

Benefits + Workers’
Compensation Benefits issues frequently arise when employees are being cared for within the workers’ compensation program. We work with our Workers’ Compensation Group to make sure that employers’ private benefit programs are compliant, offering benefits such as COBRA when an employee is on leave from work.

Benefits + Human
Resources Administration of employee benefits programs is often the responsibility of HR professionals. We work closely with the attorneys in our Human Resources Group to make sure that handbooks, policies and employee communications are properly handled and legally compliant.



Workers' Compensation Coverage

Employers in the health care industry face unique risks that are often the catalyst for significantly increased workers’ compensation costs. Health care workers go to work every day in environments that present exposure to many different situations that could result in injury, including:

Exposure to infectious diseases
Workplace violence from combative patients
Slips and falls in an environment where the floors are often wet
Exposure to toxic chemicals


However, the single greatest risk facing health care employers involves patient care/lifting injuries. Nursing home workers, for example, are exposed to overexertion rates four times higher than all of private industry. Other health care providers, such as those in hospitals and home health care situations, face similar risks during the course of the work day.

In order to return to patient care, injured workers must have full recovery of their physical capabilities. The longer periods of disability and significantly higher costs that result are the single greatest impediment to effective claims management.

At millisor+nobil we understand the unique challenges faced by the health care employer, which is why we have created a cost avoidance/management program designed specifically for your unique environment.

The Prevention+ Workers’ Compensation Management Program

  • Focus on Prevention
    Too often your legal services provider only gets involved after the accident happens. At millisor + nobil we make a point to work with our clients on a pre-loss basis, addressing prevention and exposure reduction in the event of a loss.

  • Expert Investigation
    millisor + nobil experts determine compensability, extent of exposure and recovery possibilities.

  • Establish Control
    millisor + nobil establishes control early in the process and manages the claim before it has the potential to spin out of control and escalate costs.

  • Get the Claimant Back to Work
    millisor + nobil's team of experts works to limit the possible exposure and the loss of productivity for the employer while taking into consideration the well-being of the claimant.

  • Get the File Closed
    millisor + nobil works to effectively end the costs of the occurrence and bring about a successful resolution.

  • Aggressively Manage Litigation Cases
    millisor + nobil's coordinates with management to oversee the handling of a claim from investigation through the hearing process.



Our attorneys work together to meet your needs by integrating our areas of expertise in a cost-effective, efficient manner. That’s the power of millisor + nobil’s Heathcare + approach.

Workers’ Compensation + HR
Part of the liability prevention process deals with having strong, effective personnel policies and work rules that enable an employer to aggressively manage new injuries. millisor + nobil’s HR group helps employers develop policies effectively manage pre-loss issues.

Workers’ Compensation + Litigation
Workers’ compensation claims often involve multiple arms of potential liability. Other actions that can become part of a workers’ compensation claim include: ADA, FMLA, Wrongful Discharge, Discrimination, OSHA and in some cases allegations of intentional Tort. millisor + nobil’s Litigation Group supports our comprehensive approach to managing the entire potential liability.

Workers’ Compensation + Benefits
Workers’ compensation issues often involve a separation from employment that can be temporary or permanent. It is important to ensure decisions regarding workers’ compensation issues are coordinated with your benefit program on issues like COBRA, sickness & accident benefits, holiday pay, vacation pay, etc. millisor + nobil’s Benefits Group can assist you in making sure you are in compliance with State and Federal regulations.

Workers’ Compensation + Labor
Decisions regarding how best to manage workers’ compensation are generally regulated by state law. It is important, however, to keep in mind that there may be federal implications to decisions you make in workers’ compensation cases. The right collective bargaining agreement can simplify your day to day management of workers’ compensation claims while the wrong one can complicate issues further. Our labor law experts can assist you in the management of your union contract while helping you map out strategies for union prevention.



Human Resources Coverage

millisor + nobil recognizes that a proactive approach is necessary to effectively manage employment problems in the health care industry. We have assembled a unique human resources team comprised of employment attorneys with litigation, labor relations and human resources management experience. The Human Resources Group has over 20 years of experience in counseling clients, including hospitals, nursing homes, home health care and other health care-related businesses. The goal of the Human Resources Group is to partner with employers to develop strategies for preventing litigation and labor disputes in a practical, cost-effective manner.

What We Deliver

  • Knowledgeable, practical advice
    Our experience in litigation, labor relations and human resources management allows us to provide reliable legal advice aimed at achieving your organization’s business objectives.

  • Cost-effective services and products
    Many of our products and services are flat-fee priced.

  • Human resources services and products:
    Employment Relations Audit
    This comprehensive audit evaluates your employment practices for compliance with federal and state employment laws.

    Employee Handbook
    A handbook will eliminate inconsistency in employee management which often results in discrimination liability and union vulnerability. A handbook also showcases employee benefits and communicates with employees about their employment and benefits programs.

    Supervisor / Employee Development and Training Programs
    These programs address supervisory skills and legal issues in a practical, interactive format.

    Employment Procedures Manuals
    Our manuals provide practical guidance for legal employment practices from hiring through termination and include legally compliant employment forms.

    Employee Opinion Survey
    This professionally-developed and validated instrument addresses a variety of workplace issues and measures your organization’s vulnerability to unionization. Our survey report provides valuable guidance for developing your human resources program.

    Human Resources Consulting
    Human Resources Group members are available to answer human resource-related questions and provide consultation on employee issues at any time.



Our attorneys work together to meet your needs by integrating our areas of expertise in a cost-effective, efficient manner. That’s the power of millisor + nobil’s Heathcare + approach.

HR + Labor
The health care industry is a priority target for union organization, and health care employers cannot afford to take a “wait and see” approach on this issue. Our top notch labor attorneys will provide practical and effective strategies to counter union organizing efforts and maintain a union free workplace. If your workforce is currently unionized, our Labor Group can give you legal guidance in meeting the challenges of enforcing your human resources policies and procedures while complying with a collective bargaining agreement.

HR + Litigation
Despite even the best human resources practices, your organization may be sued for violating one of many employment laws. The seasoned attorneys in our Employment Litigation Group will vigorously defend your organization with consideration for your business objectives and financial interests.

HR + Benefits
One of the most complex aspects of human resources is managing benefit programs. Our Benefits Group has the legal expertise and practical experience to effectively guide you in controlling your benefit costs while complying with federal and state laws.







Cleveland
9150 South Hills Boulevard, Suite 300
Cleveland, OH 44147
Ph: (440) 838-8800 | (800) 800-8806 |
FX: (440) 838-8805
Columbus
300 East Broad Street, Suite 190
Columbus, OH 43215
Ph: (614) 221-2234 | (800) 800-8807
FX: (614) 221-1278

millisor + nobil


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