Medical Case Manager
5 days ago
Schedule: Monday to Friday, 9:00 PM – 5:00 AM PH Time
Job DescriptionMedical Management & Care Coordination
Patient Assessment
- Conduct comprehensive assessments of patient injuries and develop tailored care plans that align with legal case requirements.
Care Coordination
- Coordinate medical care across multiple providers and services—including MRI appointments, physical therapy, and specialist consultations—to maintain consistent, continuous treatment.
Progress Tracking
- Monitor patient progress, review medical documentation, and update care plans to reflect current health status.
Barrier Resolution
- Identify and address obstacles to recovery (such as missed appointments or treatment delays) to ensure milestones are met and avoid gaps that may impact the legal case.
Resource Navigation
- Educate patients on their treatment plans and assist them in navigating available medical resources and support options.
Cost Optimization
- Ensure efficient use of medical services, minimizing unnecessary costs while maintaining high-quality care for clients.
Qualifications
Medical Background
- Must have a clinical or healthcare-related background.
U.S. Healthcare Knowledge
- Strong understanding of U.S. medical terminology and HIPAA regulations, with basic knowledge of medical billing (ICD-10 and CPT codes).
Soft Skills
- High level of empathy, patience, and professionalism when dealing with injured clients, paired with the assertiveness needed to ensure compliance with treatment plans.
Technical Skills
- Proficiency in Microsoft Office and experience using case management software.
Communication Skills
- Excellent written and verbal English communication skills, capable of explaining medical concepts to legal professionals and legal processes to patients.
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