Position: Bilingual Medical Case Manager

Shift: Monday – Friday, 8:00 AM – 5:00 PM MST

Rate: $700-$850/monthly

Role Overview

Responsible for clinical review, treatment authorization, lien management, and case progression in personal injury matters, ensuring medical necessity, financial protection, and timely case resolution.

Key Responsibilities

• Clinical & Causality Review
  • Review medical records to assess injury severity and treatment appropriateness
  • Validate medical necessity for advanced treatments (MRI, injections, surgery)
  • Ensure treatments are accident‑related and distinguish pre‑existing conditions
• Financial & Lien Management
  • Approve or deny treatment funding based on policy limits and settlement value
  • Manage Letters of Protection (LOPs) and lien documentation
  • Review provider billing for accuracy and prevent upcoding
• ...