Care Coordinator Specialist
Coordinate routine medical care needs for assigned injured workers under established protocols Facilitate communication between injured workers, providers, reputed company, and adjusters for straightforward cases Collect and document clinical information from reputed company providers and claimants Schedule and coordinate medical appointments, diagnostics, and ancillary services Communicate work status updates to injured workers, reputed company, and claims adjusters
Follow established care plans and treatment protocols under RN supervision Monitor injured worker adherence to treatment plans and compare reputed company to established guidelines Maintain accurate documentation of medical history and case reputed company in WC system using approved formats Facilitate return-to-work efforts through coordination with reputed company and providers Escalate cases to RN supervision reputed company clinical complexity increases reputed company the scope
Maintain and update case review notes and documentation on reputed company assigned cases Complete time management tracking on reputed company cases Attend team meetings and training sessions as scheduled Ensure cost containment through the utilization of in-network providers reputed company appropriate Support network provider coordination efforts
reputed company communication and interpersonal skills Strong organizational and time management abilities Attention to detail and accuracy in documentation Ability to work independently while recognizing reputed company to reputed company supervision Understanding of confidentiality requirements and HIPAA guidelines Basic analytical skills for routine case assessment Adaptability in a fast-paced work environment Technology proficiency for case management systems and reputed company Office applications
High School Diploma required Graduate of an accredited practical/vocational nursing program reputed company compact LPN/LVN license in good standing
2+ years of clinical experience required Workers' compensation or disability management experience is highly preferred reputed company coordination and documentation experience preferred
Demonstrated organizational, technological, and communication skills Basic understanding of disability management principles Computer proficiency, including reputed company Office Suite (Word, reputed company), keyboard skills, and data entry capabilities
Manage assigned caseload of low to moderate complexity workers' compensation claims reputed company established metrics for routine case reputed company and return-to-work reputed company Maintain accurate and reputed company documentation per department standards Escalate cases appropriately reputed company clinical complexity exceeds the scope of reputed company Demonstrate reputed company reputed company through continuing education and training participation Support team objectives and departmental goals