Care Coordination Specialist - Workers' Comp

MagnaCare; Chapel Hill (NC); On-site; USD 42,000 - 70,000; Full time

Job summary

Brighton Health Plan Solutions, LLC is seeking a Care Coordinator to support workers’ compensation and No Fault claims. You will collect data from claimants, providers, and employers, enter case information, and coordinate with Nurse Case Reviewers and managers to keep cases moving.

The role emphasizes patient- and provider-facing communication, timely scheduling, and adherence to QA standards. A bachelor's degree or equivalent experience is required, with strong Excel skills and the ability to

Qualifications

• Superior oral and written communication skills.
• Excellent organizational skills.
• Ability to maintain professional demeanor under pressure.
• Familiarity with medical terminology.

Responsibilities

• Collect data from claimant representative, physician, or hospital; verify claimant case status and provider network status.
• Set up cases in system in accordance with departmental workflows, policies and procedures.
• Assist Nurse Case Reviewers with non-clinical tasks such as requesting clinical information and confirming work status.
• Enter required case demographics and transcribe clinical information.
• Handle incoming calls with employers, employees, physicians and adjusters to gather medical status and care needs.

Skills

Communication skills

Organizational skills

Bilingual preferred

Medical terminology

Education

Bachelor's degree or equivalent experience

Tools

Excel

Job description

Brighton Health Plan Solutions, LLC is seeking a Care Coordinator to support workers’ compensation and No Fault claims. You will collect data from claimants, providers, and employers, enter case information, and coordinate with Nurse Case Reviewers and managers to keep cases moving.

The role emphasizes patient- and provider-facing communication, timely scheduling, and adherence to QA standards. A bachelor's degree or equivalent experience is required, with strong Excel skills and the ability to