Patient Case Manager Drive Case Success Through Systematic Execution AICA Orthopedics seeks a Patient 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
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Open job postingAbout the company
AICA Orthopedics is a healthcare provider specializing in orthopedic care. They focus on managing daily clinic operations, patient flow, staff performance, and ensuring a positive patient experience.