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Director of Human Resources at Advanced Orthopedics and Sports Medicine Institute 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.
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.
New Jersey, United States $54,000 - $72,000 5 days ago