Workers Compensation Case Manager

The Workers' Compensation Case Manager will be responsible for managing the medical care and treatment of injured  workers  who  are  receiving  workers'   compensation  benefits.  This  includes  coordinating  care  with physicians, specialists, and other medical professionals, as well as communicating with insurance carriers, employers, and attorneys as needed

Benefits

Medical insurance, Prescription drug coverage, Voluntary Dental insurance, Voluntary Vision Insurance, 401K with company match, Paid holidays

Culture

Advanced Orthopedics and Sports Medicine Institute was founded in 2007 with the merger of two of the areas longest tenured practices – Western Monmouth Orthopedic Associates and New Jersey Orthopedic Associates. For more than 25 years, each has been a leader in providing quality orthopedic and sports medicine care. Together as one, we’re even stronger and making a real difference in people’s lives.

The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience.

Responsibilities

• Coordinate and manage the medical care and treatment of injured workers who are receiving workers' compensation benefits.
• Work closely with physicians, specialists, and other medical professionals to ensure that injured workers receive appropriate and timely medical care.
• Communicate regularly with insurance carriers, employers, and attorneys to provide updates on the status of injured workers'  medical care and treatment.
• Ensure that medical treatment is consistent with workers' compensation guidelines and protocols.
• Ensure that all documentation meets NJ and NY workers’ compensation regulatory requirements.
• Manage the utilization of medical services and resources to ensure that injured workers receive the most appropriate and cost-effective care.
• Schedule and manage diagnostic testing (e.g., MRI, EMG, imaging), interventional procedures, follow-up visits, and therapy referrals
• Ensure all required authorizations are obtained and approved prior to patient services.
• Maintain comprehensive and accurate records within the EMR system.
• Evaluate medical reports and documentation to determine the need for additional medical treatment or services.
• Assist injured workers in navigating the workers' compensation system and understanding their rights and responsibilities.
• Document all interactions and interventions in a clear and concise manner.

Requirements

Minimum of 3 years of experience in case management, preferably in a workers' compensation or occupational health setting.

Knowledge of workers' compensation laws and regulations.

Authorized to work in the US without sponsorship

Bachelor's degree in nursing or a related field.

Current NJ state nursing license

Case Management Certification (CCM, COHN, or similar) preferred

Equal Opportunity Employer

Advanced Orthopedics and Sports Medicine Institute provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Requisition #cmgqpv6wyal230inp81gmbs3s