Worker's Compensation Case Manager

Description

Premier Pain Solutions seeks a dedicated and experienced Worker's Compensation Case Manager to join our medical office team. As a crucial liaison between our medical practitioners and patients involved in Worker's Compensation cases, you will play a pivotal role in ensuring efficient and compassionate care delivery. This position requires excellent organizational skills, a deep understanding of medical procedures and terminology, as well as strong communication abilities to effectively coordinate patient care and manage case details.

RESPONSIBILITIES INCLUDE:

Case Coordination and Management:

• Oversee a portfolio of worker's compensation cases as the primary point of contact for patients and legal representatives involved, and ensure all necessary documentation and information are accurately recorded and maintained.
• Coordinate appointments, consultations, and treatments for patients according to their care plans and maintain accurate and detailed records of patient treatments, progress, and billing information.
• Ensure timely communication and updates to all parties involved in the case, including medical staff, insurance providers, and legal representatives.
• Monitor and meet deadlines for filing paperwork, responding to inquiries, and scheduling appointments to ensure timely resolution of cases.

Patient Advocacy:

• Advocate for patients' needs and ensure they receive appropriate medical care and support throughout their recovery process.
• Educate patients and their families on treatment options, procedures, and expected outcomes.

Documentation and Compliance:

• Prepare and review medical reports, records, billing, and other documentation required for legal proceedings and insurance claims.
• Ensure compliance with legal and regulatory requirements related to personal injury cases.

Team Collaboration and Continuous Learning:

• Collaborate closely with physicians, nurses, and other healthcare professionals to facilitate comprehensive patient care.
• Participate in case conferences and meetings to discuss patient progress and treatment plans.
• Stay updated on developments in workers compensation law, regulations, and best practices to enhance knowledge and performance in the role.
• Other duties as assigned.

Requirements

• Bachelor's degree in a relevant field or 3-5 years’ proven experience as a Case Manager in a medical, healthcare, or legal office setting, particularly with personal injury cases.
• Strong knowledge of medical terminology, treatments, and procedures
• Excellent organizational and time-management skills with the ability to prioritize tasks effectively.
• Exceptional interpersonal and communication skills, with the ability to interact effectively with patients, families, medical staff, and legal professionals.
• Proficiency in using electronic medical records (EMR) systems and other relevant software preferred.