Clinical Case Management Liaison

About Us

Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored to each patient’s unique needs. Our providers are leaders in personal injury and workers’ compensation care, with a proven track record of helping patients recover and reach their maximum recovery potential.

Our mission is to restore quality of life through patient-centric care, supporting those injured in motor vehicle or work-related accidents. We take an interdisciplinary approach, ensuring patients receive coordinated care from evaluation through treatment, with the goal of achieving optimal recovery outcomes.

Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.

Job Duties

Clinical Case Management Coordinator Responsibilities:

• Oversee and coordinate with other clinical reviewers to audit charts for proper case management and utilization in accordance with NIA guidelines (formally known as the Magellan Guidelines) and other appropriate treatment guidelines.
• Oversee Worker Comp approved injuries to ensure all providers are documenting in accordance with State Bureau documents.
• Facilitate communications with Work Comp attorneys regarding and accepted injuries or additional injuries that need to be petitioned or added to the work comp claim
• Advise providers on clinical matters that arise including but, not limited to documentation, verbiage, coordination with collegial provider’s diagnosis codes, expert testimony, timeliness, professionalism, diagnostic testing, etc.
• In coordination with Director of Chiropractic Services, the coordinator will monitor and address emails specific to clinical case management.
• Manage case management coverage schedule for all chiropractors involved in the case management process, assigned hours, etc.

• Other duties as assigned

 

Chiropractor Responsibilities if applicable:

• Provide coverage for Chiropractic coverage on limited basis if needed.
• Perform a series of manual adjustments to the spine, or other articulations of the body, in order to correct the musculoskeletal system
• In addition to classic chiropractic technique, utilize appropriately the full scope of chiropractic licensure including, but not limited to, physical therapy modalities, therapeutic exercises, etc.
• Evaluate the functioning of the entire neuromusculoskeletal system and the spine using systems of chiropractic diagnosis
• Diagnose health problems by reviewing patients' health and medical histories; questioning, observing and examining patients; and interpreting x-rays
• Maintain accurate case histories and complete treatment records of patients
• Advise and educate patients about recommended courses of treatment
• Counsel patients about nutrition, exercise, sleeping habits, stress management, and other matters
• Consult with and refer patients to appropriate health practitioners when necessary
• Supervise Chiropractic Assistants to ensure appropriate and compliant patient care

 

Minimum Requirements:

• Background in any of the following areas: Certified Professional Coder, Certified Paralegal, Doctor of Chiropractic, Nurse Practitioner, Physician Assistant, or a Registered Nurse, with knowledge of the med legal space. 

 

Additional Skills/Competencies

• Preferred, not required: Medicine – Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures
• Customer and Personal Service – Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
• Preferred, not required: Therapy and Counseling – Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical dysfunctions.

 

Physical/Mental Requirements

Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, crawling, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting max. of 20 lbs.

Diversity Statement

Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.