Personal Injury Case Manager bei Proco LLC
Proco LLC · College Park, Vereinigte Staaten Von Amerika · Onsite
- Professional
- Optionales Büro in College Park
Description
Personal Injury Case Manager
Drive Case Success Through Systematic Execution
AICA Orthopedics seeks a Personal Injury Case Manager to ensure optimal patient outcomes and case value through systematic execution of comprehensive case management protocols across our 21-location network.
Core Responsibilities
Case Documentation & Management
- Secure police reports within 72 hours and coverage limits within 60 days to maximize case value
- Execute company-approved checklists to collect comprehensive case information and prevent coverage gaps
- Track care plan compliance against AICA clinical pathways using dashboards to ensure maximum medical improvement
- Maintain accurate documentation meeting Georgia medical record requirements for audit protection
Internal Stakeholder Coordination
- Conduct care reviews with Clinic Directors, Practice Managers, and Corporate Case Management teams
- Coordinate with Verification Department to determine patient financial responsibility and prevent billing issues
- Collaborate with Front Desk teams to collect payments prior to service delivery
- Provide case status reports and financial summaries to clinic leadership for decision-making
Patient Care & External Relations
- Coordinate patient flow across your assigned clinic locations to minimize treatment delays and ensure completion
- Maintain professional relationships with attorney representatives and third-party stakeholders
- Facilitate patient financial discussions and payment arrangements to remove care barriers
- Ensure compliant communication with legal counsel while protecting patient privacy
Success Metrics
- 95%+ completion of required case documentation checklist items
- 72-hour/60-day targets for police reports and coverage limits
- 85%+ treatment completion rates through systematic care coordination
- 100% compliance with training and regulatory certifications
Required Qualifications
- 1-3 years Personal Injury case management experience with systematic case tracking
- Medical office experience preferred with insurance verification and patient coordination
- Microsoft Office/Excel proficiency for reporting and case tracking
- Strong organizational skills for managing multiple cases and deadlines
- Professional communication with internal teams, patients, and legal stakeholders
Georgia Compliance Requirements
- Georgia healthcare compliance certification within 90 days
- HIPAA privacy training with annual recertification
- Professional ethics training for attorney communication boundaries
- Quarterly compliance assessments with corrective action as needed
Technology & Systems
- NextGen EHR for patient records and case tracking
- Excel for dashboard analysis and reporting
- Case management platforms for systematic information organization
Career Development & Benefits
- Growth opportunities: Senior Case Manager, Team Lead, Clinical Operations roles
- Professional development: Advanced certification support and healthcare training
- Comprehensive benefits: Medical, dental, vision, 401(k) match, professional development fund
- Mentorship program with experienced case management professionals
Ready to drive case success through systematic execution? Join AICA and make a measurable impact on patient outcomes across Atlanta's premier orthopedic network!
Requirements
- 1-3 years Personal Injury case management experience with systematic case tracking
- Medical office experience preferred with insurance verification and patient coordination
- Microsoft Office/Excel proficiency for reporting and case tracking
- Strong organizational skills for managing multiple cases and deadlines
- Professional communication with internal teams, patients, and legal stakeholders
Georgia Compliance Requirements
- Georgia healthcare compliance certification within 90 days
- HIPAA privacy training with annual recertification
- Professional ethics training for attorney communication boundaries
- Quarterly compliance assessments with corrective action as needed
Technology & Systems
- NextGen EHR for patient records and case tracking
- Excel for dashboard analysis and reporting
- Case management platforms for systematic information organization
