Case Coordinator - Dallas, TX (31978)

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    "description": "<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Are you a detail‑driven professional with a passion for quality and compliance?</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Join us as a <strong>Case Coordinator</strong>, where you will play a critical role in ensuring medical reports meet the highest standards of accuracy, integrity, and regulatory compliance. The Case Coordinator is responsible for ensuring reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist with quality assurance questions and provide overall support to the Quality Assurance Department.</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>Location:&nbsp;</strong>12001 N Central Expressway, Suite 800, Dallas, TX 75243</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>Hours:&nbsp;</strong>8:30 am - 5:00 pm CST</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>ESSENTIAL DUTIES AND RESPONSIBILITIES</strong></span></span></p>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Performs quality assurance review of reports, correspondences, addendums or supplemental reviews.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures that all client instructions and specifications have been followed and that all questions have been addressed.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures the provider credentials and signature are adhered to the final report.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Assists in resolution of customer complaints and quality assurance issues as needed.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensures all federal ERISA and/or state mandates are adhered to at all times.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Promotes effective and efficient utilization of company resources.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Participates in various educational and or training activities as required.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Performs other duties as assigned.</span></span></li>\n</ul>\n\n<ul>\n\t<li>&nbsp;</li>\n</ul>\n",
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    "qualifications": "<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>EDUCATION AND/OR EXPERIENCE&nbsp;</strong></span></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">High school diploma or equivalent required.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Minimum of two (2) years of clinical or related field experience, or an equivalent combination of education and experience.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Knowledge of the insurance industry preferred, particularly claims management related to:</span></span>\n\t<ul>\n\t\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Workers&rsquo; compensation</span></span></li>\n\t\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">No‑fault</span></span></li>\n\t\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Liability</span></span></li>\n\t\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Disability</span></span></li>\n\t</ul>\n\t</li>\n</ul>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\"><strong>CERTIFICATES, LICENSES, AND REGISTRATIONS&nbsp;</strong></span></span></p>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">No specific requirements.</span></span></p>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\"><strong>ESSENTIAL COMPETENCIES &amp; QUALIFICATIONS</strong></span></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be a qualified typist with a minimum of 40 W.P.M</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be able to operate a general computer, fax, copier, scanner, and telephone.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must possess excellent skills in English usage, grammar, punctuation and style.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Ability to&nbsp;accurately follow instructions and respond to directions from&nbsp;upper management.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be able to work independently, prioritize work activities and use time efficiently.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be able to maintain confidentiality.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be able to demonstrate and promote a positive team-oriented environment.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be able to stay focused and concentrate under normal or heavy distractions.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must be able to work well under pressure and or stressful conditions.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must possess the ability to manage change, delays, or unexpected events appropriately.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Demonstrates reliability and abides by the company attendance policy.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Must maintain a professional and clean appearance at all times consistent with company standards.</span></span></li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\"><strong>PHYSICAL DEMANDS</strong></span></span></p>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">This is generally a sedentary job position that consists of:&nbsp;</span></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Sitting 8 hours per day</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Walking and standing for brief periods</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Occasionally climbing one or more flight of stairs</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Occasionally lifting and/or carrying up to 10 lbs.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Occasionally pushing/pulling up to 10 lbs.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Occasionally subject to bending, squatting or twisting.</span></span><br />\n\t&nbsp;</li>\n</ul>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\"><strong>WORK ENVIRONMENT</strong></span></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">Extended hours are occasionally required beyond the regular eight (8) hour work day.</span></span></li>\n\t<li><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">The noise level in the work environment is usually moderate.</span></span><br />\n\t&nbsp;</li>\n</ul>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\"><strong>NOTE:</strong></span></span></p>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\">This job description is intended to provide a general overview of the responsibilities and requirements for the Case Coordinator position. Specific duties and responsibilities may vary based on the clinic&#39;s needs and may be subject to change at the discretion of the employer.</span></span></p>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:Arial,Helvetica,sans-serif\"><span style=\"display:block; font-size:12px\"><strong>IME</strong> offers our vendors a vast network of providers who perform Compensation and Pension (C&amp;P) exams, Separation Health Assessments (SHAs), and Reserve Health Readiness Program (RHRP) evaluations for our Nation&#39;s Veterans. Our offices are outfitted with state-of-the-art equipment and highly skilled medical professionals. We pride ourselves on delivering quality services in a timely manner.<br />\n<br />\n<br />\n<strong>IME</strong> is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.<br />\n<br />\n<strong>Equal Opportunity Employer</strong><strong>&nbsp;</strong>- Minorities/Females/Disabled/Veterans</span></span></p>\n\n<p>&nbsp;</p>\n",
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