Operations Manager – Personal Injury Medical Management (Remote)

In The Network; Colombia; A distancia; COP 222.795.000 - 350.107.000; Jornada completa

Descripción de la vacante

Get Linked Up is seeking an experienced Operations Manager to oversee a Medical Management Organization that supports personal injury law firms. This remote leadership role requires hands-on PI experience from intake through treatment completion.

You will supervise case managers and administrative staff, implement SOPs, monitor KPIs, and ensure timely referrals and documentation while maintaining strong attorney and provider relations.

Formación

• Minimum 3–4 years of professional experience in personal injury case management and medical management.
• Strong understanding of the personal injury medical treatment process.
• Experience supervising or managing case managers, medical coordinators, or operational teams.
• Extensive knowledge of medical referrals, treatment coordination, and billing processes.
• Experience communicating with personal injury attorneys and medical providers.
• Ability to manage a high volume of active personal injury cases.
• Strong organizational, analytical, and problem-solving skills.
• Excellent written and verbal English communication skills.
• Ability to work independently in a remote environment.
• Proficiency with case management software, CRM systems, Microsoft Office, and Google Workspace.

Responsabilidades

• Oversee daily operations of the medical management organization.
• Supervise, train, and support medical case managers and administrative staff.
• Establish and enforce standard operating procedures (SOPs).
• Monitor employee productivity, performance, and accountability.
• Conduct regular team meetings, performance evaluations, and case reviews.
• Identify operational inefficiencies and implement improvements.
• Ensure all assigned cases are actively managed and deadlines are met.
• Oversee medical management for clients involved in personal injury claims.
• Ensure clients are promptly referred to appropriate medical providers.
• Monitor treatment progress, medical appointments, and follow-up care.
• Identify gaps in treatment and ensure case managers address them immediately.
• Track medical treatment timelines, referrals, and pending appointments.
• Ensure medical records, bills, and treatment updates are accurately documented.
• Monitor cases from initial medical referral through treatment completion.
• Identify and elevate medical management concerns that may affect case progression.
• Maintain professional communication with personal injury law firms and their teams.
• Provide attorneys with accurate, timely updates regarding their clients’ medical treatment.
• Coordinate with medical providers, imaging centers, and rehabilitation facilities.
• Ensure referrals are processed efficiently and clients receive follow-up.
• Resolve escalated concerns involving providers, clients, or attorneys.
• Maintain strong working relationships with attorneys and medical offices.
• Review case files for accuracy, completeness, and timely follow-up.
• Monitor KPIs such as referral-to-appointment time, scheduling, and completion rates.
• Prepare operational reports and provide recommendations to improve efficiency.
• Ensure HIPAA privacy compliance.

Conocimientos

Team leadership

Organizational skills

Analytical skills

Problem-solving

Written and verbal English

Herramientas

Filevine

SmartAdvocate

Descripción del empleo

Operations Manager – Personal Injury Medical Management (Remote)

Company: Get Linked Up
Position: Operations Manager – Medical Management Organization (MMO)
Location: 100% Remote / Work From Home
Experience Required: Minimum 3–4 Years in Personal Injury and Medical Case Management

About the Position

Get Linked Up is seeking a highly experienced, organized, and results-driven Operations Manager to oversee the daily operations of a Medical Management Organization (MMO) that supports personal injury law firms.

The ideal candidate will have extensive experience in the personal injury industry, medical case management, and team leadership, with a strong understanding of the medical treatment process from initial client intake through treatment completion.

This individual will be responsible for supervising case management teams, ensuring clients receive timely medical care, monitoring case progression, maintaining strong communication with personal injury attorneys, and implementing operational procedures that maximize efficiency and performance.

This is a leadership position requiring hands‑on personal injury experience. Candidates without a minimum of 3–4 years of relevant personal injury and medical management experience will not be considered.

Key Responsibilities

Operations & Team Management

• Oversee daily operations of the medical management organization.
• Supervise, train, and support medical case managers and administrative staff.
• Establish and enforce standard operating procedures (SOPs).
• Monitor employee productivity, performance, and accountability.
• Conduct regular team meetings, performance evaluations, and case reviews.
• Identify operational inefficiencies and implement improvements.
• Ensure all assigned cases are actively managed and deadlines are met.

Personal Injury Medical Case Management

• Oversee medical management for clients involved in personal injury claims.
• Ensure clients are promptly referred to appropriate medical providers.
• Monitor treatment progress, medical appointments, and follow-up care.
• Identify gaps in treatment and ensure case managers address them immediately.
• Track medical treatment timelines, outstanding referrals, and pending appointments.
• Ensure medical records, bills, and treatment updates are accurately documented.
• Monitor cases from initial medical referral through treatment completion.
• Identify and elevate medical management concerns that may affect case progression.

Attorney & Medical Provider Relations

• Maintain professional communication with personal injury law firms and their case management teams.
• Provide attorneys with accurate, timely updates regarding their clients’ medical treatment.
• Coordinate with medical providers, specialists, imaging centers, and rehabilitation facilities.
• Ensure medical referrals are processed efficiently and clients receive appropriate follow-up.
• Resolve escalated concerns involving medical providers, clients, or law firm representatives.
• Maintain strong working relationships with attorneys and medical offices.

Quality Assurance & Performance Monitoring

• Review case files to ensure accuracy, completeness, and timely follow-up.
• Monitor case management performance and ensure established service standards are consistently met.
• Track key performance indicators (KPIs), including:
  • Time from referral to initial medical appointment.
  • Appointment scheduling and completion rates.
  • Treatment gaps and missed appointments.
  • Case manager productivity and follow-up compliance.
  • Outstanding medical records and billing requests.
  • Overall case progression and client satisfaction.
• Prepare operational reports and provide recommendations to improve efficiency.
• Ensure sensitive client and medical information is handled in accordance with applicable privacy and confidentiality requirements, including HIPAA where applicable.

Required Qualifications

Applicants MUST meet the following requirements:

• Minimum 3–4 years of professional experience in personal injury case management and medical management.
• Strong understanding of the personal injury medical treatment process.
• Previous experience supervising or managing case managers, medical coordinators, or operational teams.
• Extensive knowledge of medical referrals, treatment coordination, specialist appointments, medical records, and billing processes.
• Experience communicating directly with personal injury attorneys and medical providers.
• Ability to manage a high volume of active personal injury cases.
• Strong organizational, analytical, and problem‑solving skills.
• Excellent written and verbal English communication skills.
• Ability to work independently, prioritize competing responsibilities, and meet deadlines in a remote environment.
• Proficiency with case management software, CRM systems, Microsoft Office, and Google Workspace.

Preferred Qualifications

• Previous experience as an Operations Manager, Senior Personal Injury Case Manager, Medical Case Management Supervisor, or Medical Coordinator.
• Experience working with a medical management organization, personal injury law firm, or medical referral coordination company.
• Familiarity with Filevine, SmartAdvocate, or similar legal case management software.
• Experience developing SOPs, managing KPIs, and implementing quality assurance programs.
• Bilingual English/Spanish communication skills are a plus.
• Experience managing remote or international teams