Injury Coordinator - Remote

Rising Medical Solutions Remote
injury coordinator remote medical providers insurance coordinator written manager team customer service injury health
November 17, 2022
Rising Medical Solutions
Denver, Colorado

The Injury Coordinator is responsible for coordinating and managing a range of health care related services such as, communicating with patients, providers, adjusters, etc. to determine appropriate treatment, and to secure a timely return to work status for the injured workers.

Core Responsibilities include:

  • Manage and/or assign files to appropriate staff member and initiate appropriate verbal and/or written contacts with employers, clients, claimants, and medical providers.
  • Set up files in all appropriate systems; assign files, when applicable, to the nurse.
  • Maintain responsibility of an individual caseload
  • Facilitate and schedule appointments as needed and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally and/or in writing of any changes, delays, updates, or problems.
  • Maintain appropriate electronic and paper files.
  • Obtain authorization for medical release of information from the adjuster, as necessary, for records acquisition.
  • Provide care direction as necessary.
  • Interface with a variety of inter-disciplinary providers (e.g., PT, diagnostic, psychology, etc.).
  • Identify, maintain, and update participating providers.
  • Utilize Triage scoring tool for evaluating case risk and input all activities (including verbal and written discussions) into the Ultimate database and customer/client system.
  • Answer incoming calls and direct the call appropriately.
  • Process all documents using computer, copier, and scanner.
  • Search and copy the appropriate internal criteria guidelines, when appropriate.
  • Screen all re-open files (subsequent URs) to determine duplicate requests, vs. an appeal request that is beyond the allotted time-frame, vs. a reconsideration, vs. a new UR.
  • Work as part of a team to meet turn-around time for the set activity.
  • Keep supervisor advised of any problems or delays.
  • Continually improve job skills and knowledge of all company products and services as well as customer issues and needs, through ongoing training and self-directed research.
  • Provide customer service in English and Spanish
  • Adhere to company policies, procedures, and reporting requirements.

Reports to:

  • Injury Coordinator Team Lead
  • Technical Manager


  • Experience in any of the following disciplines a plus - CNA, Medical Office Manager, Medical Assistant, Physical Therapy Aide, Workers' Compensation/Medical Unit Claims Administrator, IME Coordinator
  • Experience with workers' compensation or disability (a plus!)
  • Intermediate computer and internet skills (will work with programs including MS Word, Outlook, and Excel)
  • Basic knowledge of/ability to read medical reports
  • The ability to research evidence-based guidelines
  • An understanding of workflow guidelines and follow as necessary
  • Proficient verbal/telephone and written communication skills
  • A high level of efficiency, ability to maintain rapid workflow
  • An aptitude for learning, organization skills and the ability to follow systems and procedures
  • A time-management mindset, along with planning, and prioritization skills
  • The ability to multi-task in a fast-paced environment
  • The ability to work independently as well as part of a team
  • The ability to express empathy with injured and/or disabled people
  • A customer service mindset

Working Conditions:

  • Remaining in a seated position
  • Entering text or data into a computer
  • Visual Acuity
  • Talking
  • Hearing
  • Repetitive arm, hand, finger motion
  • Working remotely some or all the time

Risings Benefits:

  • Health insurance (4 different plans to choose from)
  • Dental
  • Vision
  • Paid time off (PTO) or Flexible Time Off (FTO)
  • 401(k)
  • Basic Life Insurance and Long-Term Disability Insurance (paid by the company)
  • Voluntary Life Insurance and Short-Term Disability Insurance
  • Flexible Spending Accounts (FSA)
  • Employee Assistance Program (EAP)
  • Rise Well Wellness Program
  • Professional Development Reimbursement Program (PDRP)
  • You will be part of our new Elevate program designed to recognize and reward employees for their hard work

About Us:

Headquartered in Chicago, RISING Medical Solutions is a privately held, financial solutions organization offering medical cost containment and care management services. With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000 employers, third party administrators, and government organizations. At RISING, we're committed to:

  • Continuous technological improvement
  • Entrepreneurial attitude
  • Seven core values that emphasize teamwork, ethical behavior, customer service, continual improvement, positive attitude, focusing on what's important, and keeping a sense of humor
  • Responding quickly to client needs
  • Being the best, not the biggest

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