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! 

• 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