Personal Injury Case Manager

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 n