Patient Case Manager

AICA Orthopedics, P.C. • Winder, GA

2d

About The Position

AICA Orthopedics is seeking a Patient Case Manager for AICA Winder & Gainesville to support optimal patient outcomes and case value through systematic execution of comprehensive case management protocols across its 21-location network. The role coordinates case documentation, care plans, clinic stakeholders, patient financial discussions, and external relationships while maintaining compliance with Georgia healthcare and privacy requirements.

The Patient Case Manager tracks case information and treatment-plan compliance, coordinates patient flow across assigned clinic locations, and provides case status and financial summaries to clinic leadership. The position uses NextGen EHR, Excel, and case management platforms. Career development opportunities include Senior Case Manager, Team Lead, and Clinical Operations roles, as well as advanced certification support, healthcare training, and mentorship.

Requirements

• 1–3 years of Personal Injury case management experience with systematic case tracking.
• Microsoft Office and Excel proficiency for reporting and case tracking.
• Strong organizational skills to manage multiple cases and deadlines.
• Professional communication skills for working 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, including insurance verification and patient coordination.

Responsibilities

• Secure police reports within 72 hours and coverage limits within 60 days to maximize case value.
• Use company-approved checklists to collect comprehensive case information and prevent coverage gaps.
• Track care-plan compliance against AICA clinical pathways using dashboards to support maximum medical improvement.
• Maintain accurate documentation that meets Georgia medical record requirements and supports audit protection.
• Conduct care reviews with Clinic Directors, Practice Managers, and Corporate Case Management teams.
• Coordinate with the Verification Department to determine patient financial responsibility and prevent billing issues.
• Collaborate with Front Desk teams to collect payments before 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 support treatment completion.
• Maintain professional relationships with attorney representatives and third-party stakeholders.
• Facilitate patient financial discussions and payment arrangements to remove barriers to care.
• Communicate compliantly with legal counsel while protecting patient privacy.
• Complete Georgia healthcare compliance certification within 90 days, HIPAA privacy training with annual recertification, professional ethics training, and quarterly compliance assessments with corrective action as needed.

Benefits

• Medical benefits.
• Dental benefits.
• Vision benefits.
• 401(k) match.
• Professional development fund.
• Advanced certification support and healthcare training.
• Mentorship program with experienced case management professionals.
• Growth opportunities in Senior Case Manager, Team Lead, and Clinical Operations roles.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed