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Care Coordinator(Fully Remote)

Posted 2 days ago

nescoNew York (NY)

SENIORITY

Senior

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About the role

Non-Clinical Occupational Medicine (OccMed) Care CoordinatorSchedule: Monday - Friday, 8:30 AM - 5:00 PM Work Arrangement: Remote Position Overview The Non-Clinical OccMed Care Coordinator serves as a key liaison in the coordination of patient cases within the workers' compensation process. This role ensures accurate review of medical documentation, alignment of treatments with authorized care plans, and effective communication with providers, employers, and internal stakeholders to support high-quality, compliant care delivery.
Key Responsibilities: Case Coordination & Documentation ReviewReview provider transcripts and medical documentation to ensure treatments align with authorized care plans Identify discrepancies, missing information, or additional treatments within records Communicate with providers to clarify documentation and verify treatment accuracy Maintain and verify Occupational Medicine data within the EMR system Workers' Compensation SupportManage and document workers' compensation claims and referrals in the EMR system Provide required work status reports to employers and insurance carriers in compliance with state regulations Communicate with employers, adjusters, and nurse case managers regarding: Work restrictions Missing documentation Denials and claim updatesCustomer Service & Stakeholder CommunicationServe as a liaison between patients, employers, providers, and insurance companies Provide timely responses to employer and patient inquiries, including medical record requests Support appointment reminders and communicate missed appointment details as needed Build strong relationships with employer clients to resolve concerns and ensure satisfaction Billing & Process SupportAudit charges to ensure accurate billing and clean claim submission Identify and resolve missing codes or documentation issues Collaborate with internal teams to support drug screen reporting and employer account setup Program & Operational SupportAssist OccMed Sales Team with establishing and maintaining employer protocols in the EMR system Maintain daily communication with OccMed team members and leadership Participate in staff meetings, audits, and process improvement initiatives Support coordinated care efforts across clinics, patients, and employers Compliance & StandardsEnsure adherence to company policies, including HIP nd compliance program standards Follow OSHA and workplace safety protocols Maintain strict confidentiality of patient and business information Adhere to company Code of Conduct, mission, and values EducationHigh School Diploma required Bachelor's Degree preferred ExperienceOccupational Medicine or related business experience required Experience with Electronic Medical Records (EMR) systems preferred Equivalent combination of education and experience will be considered Required Skills & QualificationsStrong attention to detail with the ability to review and interpret medical documentation Excellent written and verbal communication skills Strong customer service and interpersonal skills Ability to work independently in a remote environment Proficiency in Microsoft Office (Excel, Word, Outlook) Highly organized with the ability to manage multiple priorities Additional QualificationsProfessional, personable demeanor Strong problem-solving and critical-thinking skills Ability to collaborate across multiple stakeholders and departments Commitment to delivering high-quality, service-oriented supportNesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services. Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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