Care Coordinator Specialist in Wayne, Pennsylvania at Genex Service LLC

Genex Service LLC
Care Coordinator Specialist

US--Remote

Job ID: 26-19054
Type: Regular Full-Time
# of Openings: 1
Category: Case Management
Mitchell International, Inc.

Responsibilities

The Care Coordination Specialist works under RN supervision to provide coordinated care services for injured workers with low to moderate complexity claims. This position ensures continuity of medical services and facilitates communication between all parties involved while supporting return-to-work efforts within workers' compensation guidelines.

KEY RESPONSIBILITIES

Care Coordination & Communication

• Coordinate routine medical care needs for assigned injured workers under established protocols

• Facilitate communication between injured workers, providers, employers, and adjusters for straightforward cases

• Collect and document clinical information from healthcare providers and claimants

• Schedule and coordinate medical appointments, diagnostics, and ancillary services

• Communicate work status updates to injured workers, employers, and claims adjusters

Case Management Support

• Follow established care plans and treatment protocols under RN supervision

• Monitor injured worker adherence to treatment plans and compare progress to established guidelines

• Maintain accurate documentation of medical history and case progress in WC system using approved formats

• Facilitate return-to-work efforts through coordination with employers and providers

• Escalate cases to RN supervision when clinical complexity increases beyond the scope

Administrative Functions

• Maintain and update case review notes and documentation on all assigned cases

• Complete time management tracking on all cases

• Attend team meetings and training sessions as scheduled

• Ensure cost containment through the utilization of in-network providers when appropriate

• Support network provider coordination efforts

COMPETENCIES

• Professional communication and interpersonal skills

• Strong organizational and time management abilities

• Attention to detail and accuracy in documentation

• Ability to work independently while recognizing when to seek 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 Microsoft Office applications

Qualifications

Education & Licensure:

• High School Diploma required

• Graduate of an accredited practical/vocational nursing program

• Current compact LPN/LVN license in good standing

Experience:

• 2+ years of clinical experience required

• Workers' compensation or disability management experience is highly preferred

• Healthcare coordination and documentation experience preferred

Skills:

• Demonstrated organizational, technological, and communication skills

• Basic understanding of disability management principles

• Computer proficiency, including Microsoft Office Suite (Word, Excel), keyboard skills, and data entry capabilities

PERFORMANCE EXPECTATIONS:

• Manage assigned caseload of low to moderate complexity workers' compensation claims

• Achieve established metrics for routine case resolution and return-to-work outcomes

• Maintain accurate and timely documentation per department standards

• Escalate cases appropriately when clinical complexity exceeds the scope of practice

• Demonstrate professional growth through continuing education and training participation

• Support team objectives and departmental goals

SUPERVISION & REPORTING

Works under the direct supervision of the RN Case Manager or the WC Nurse Supervisor. Receives guidance on complex cases and clinical decision-making. Expected to work independently on routine coordination tasks while maintaining regular communication with the supervising RN.

Salary: