Overview Join to apply for the Case Manager role at One to One Health .
Location: Peoria, IL
Salary: $70,600.00-$83,000.00
Position The Workers Compensation Case Manager is responsible for supporting the medical treatment of patients with work-related injuries or illnesses, assisting the healthcare provider in managing their care within the workers' compensation system, including documenting medical records, scheduling appointments, coordinating with insurance companies, and ensuring proper claim submission procedures are followed.
Responsibilities Taking detailed medical histories, recording vital signs, and performing initial assessments of work-related injuries.
Setting up exam rooms with necessary supplies and instruments for work-related injury evaluations.
Helping the physician during physical examinations, documenting findings, and assisting with procedures like wound care or splinting.
Accurately documenting patient details, including injury descriptions, treatment plans, progress notes, and any limitations or restrictions in a compliant manner.
Completing necessary paperwork for workers' compensation claims, including initial reports, progress reports, and final status updates, ensuring proper coding and billing practices.
Communicating with insurance adjusters, obtaining authorizations for treatment, and following up on claim status.
Providing information regarding work-related injuries, treatment options, and expectations for recovery.
Coordinating follow-up appointments for injured workers with the physician.
Adhering to HIPAA regulations and protecting sensitive patient information.
Other duties as assigned.
Skills/Knowledge Excellent organizational and analytical skills
Strong sense of professionalism
Up to date knowledge of workers compensation laws
Proficiency in relevant software and technology systems
Ability to read, write, and communicate the English language
Ability to effectively communicate both orally and in writing
Ability to follow written or verbal step-by-step instructions
Ability to concentrate, think, and learn
Ability to hear, see, sit, stoop, kneel, crouch, reach, lift, push and pull
Qualifications / Experience High school diploma or equivalent
Active CMA or equivalent certification
Minimum of 2 years prior experience working in the occupational health field
Seniority level Entry level
Employment type Full-time
Job function Other
Industries Hospitals and Health Care