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