Patient Case Manager

Description

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 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

Requirements

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