Next Level Medical

General

• Manage the day-to-day operations of the workers' compensation program, including case management, claims processing, and communication with employees, employers, and insurance carriers
• Collaborate with medical teams to develop and implement individualized return-to-work plans for injured employees
• Ensure compliance with federal, state, and local workers' compensation laws and regulations, maintaining accurate records and documentation
• Monitor program performance, identify areas for improvement, and implement strategies to enhance efficiency and effectiveness
• Foster relationships with external partners, including employers, insurance carriers, and regulatory agencies, to ensure seamless program administration
• Report to the Vice President of Integrated Operations

Explore WorX Coordinator – Part Time at Next Level Medical. Review requirements and application details.

WorX Coordinator – Part Time

Communications

• Review clinical messages routed by Communications Advocates through the phone system
• Return patient calls regarding clinical questions, treatment concerns, and follow-up needs
• Review charts, apply clinical judgment, contact pharmacies, and provide follow-up instructions
• Review medication requests and resolve appropriate prescription corrections and clarifications
• Identify issues requiring the original treating provider and escalate Workers’ Compensation prescriptions requiring authorization or administrative support
• Document callbacks, recommendations, unsuccessful contact attempts, clinical decisions, patient communications, medication actions, and handoffs in Touchworks or the designated patient record
• Coordinate work notes and lab reports through the NLUC Provider Group Chat in RingCentral
• Monitor and manage assigned PRIME provider worklists and provider-level requests that do not require a new patient visit
• Address medication refill requests, prescription clarifications, pharmacy transmission failures, and appropriate prescription corrections
• Review and complete clinically appropriate administrative forms, paperwork, and requests requiring provider completion or signature
• Review time-sensitive and critical laboratory or imaging results, communicate necessary actions, and arrange escalation or follow-up
• Route courtesy reminders for appropriate noncritical imaging results with upcoming follow-up visits
• Support workflow questions related to controlled substance agreements while ensuring the treating provider signs the CSA
• Route matters requiring evaluation, a scheduled visit, or ongoing management back to the treating provider or appropriate PRIME team
• Prioritize urgent or time-sensitive requests and complete assigned tasks during scheduled shifts
• Coordinate with PRIME providers, virtual assistants, care navigators, Communications Advocates and Leads, and operational or clinical leadership
• Hand off unresolved matters and promptly escalate out-of-scope, patient-safety, or workflow concerns
• Assist with the general callback queue when Communications CBQ tasks are caught up
• Report technical problems and operational barriers to department leadership
• Provide timely, complete responses throughout scheduled shifts
• Communications CBQ volume is estimated at approximately 8–12 issues per hour, depending on complexity

Explore Communications, PRIME Callback Queue Provider at Next Level Medical. Review requirements and application details.

Open roles

WorX Coordinator – Part Time

Communications, PRIME Callback Queue Provider