Patient Case Manager

AICA Orthopedics, P.C.•Lawrenceville, GA

1d•Onsite

About The Position

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. This role involves securing essential documentation, tracking patient progress, coordinating with internal and external stakeholders, and facilitating patient care and financial discussions.

Requirements

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 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

Nice To Haves

Medical office experience preferred with insurance verification and patient coordination

Responsibilities

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.
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.
Coordinate patient flow across 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.