Principal Duties and Responsibilities (Essential Functions): • Triage injury/illness calls to determine if emergent/non-emergent • Determine if injury/illness requires immediate treatment or first aid advice • Research/locate the nearest facility to utilize for injury • Contact medical facility to determine the availability of adequate services to meet the needs of the particular injury/illness • Coordination of visit via phone/fax • Speak with Medical personnel regarding the mechanism of injury/illness and discuss appropriate treatment pathways, obtaining UDS and BAT when applicable, and workplace accommodation availability • Inform client/injured worker of name/location and contact information of medical facility available • Notify appropriate contacts via email of injury/illness details with initial information within one hour of notification, unless an extreme situation • Provide updates of diagnosis, work status, plan of care and follow up appointments to appropriate personnel with injured worker's employer and adjuster • Provide updates, diagnosis, clinic notes and treatment authorization requests to designated representative for client and Worker's Compensation insurance adjuster • Log injury/illness details on spreadsheet; Client specific • Enter injured worker, adjuster name and claim number into Billing Portal to apply billing time and status of case as it occurs • Bill time for each case according to services rendered • Field Case Management services for client/injured worker needing onsite Case Management services at the time of visit. This includes communicating directly with the provider and obtaining pertinent paperwork at the visit • Generating letters to providers, for clarification of work-relatedness and or treatment plan • Obtaining and reviewing Medical records and diagnostics with relation to present injury/illness, prior history and/or forwarding to Specialty providers when allocated • Proper documentation of phone calls made and received, interpretation of medical records from each exam, work status, and all emails transpired with regard to each case • Coordinate SMO's with specialists as needed • Coordinate FCE's to determine job capabilities • Rotate Call to ensure 24/7/365 CM services; perform duties as stated above for calls received • Transfer phone lines every morning and evening for phone coverage 24 hrs a day • Assist Upper Management in CM activities as requested • Answer phones in a professional manner when receptionist is not available • Attend and participate in staff meetings • Assists in office related tasks as needed • Participate in opportunities for learning and skill maintenance/development, including internal and external training and workshops.