CorVel Corporation is hiring a Medical Case Manager I to work from home and on the road, facilitating the recovery of injured workers and their families. The role involves working with a caseload of workers compensation injured workers within a defined jurisdiction, providing in-person and telephonic medical case management, and implementing care plans. The ideal candidate is a registered nurse with a strong background in medical case management, orthopedics, neurology, or rehabilitation.
Requirements
- Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
- Utilizes medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
- Provides assessment, planning, implementation, and evaluation of patient’s progress
- Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness
- Attends doctors, other providers, home and in some cases, attorney’s visits
- Conducts home visit for initial evaluation
- Implements care such as negotiating the delivery of durable medical equipment and nursing services
- Ability to work both independently and within a team environment
- Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
- Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
- A cost containment background, such as utilization review or managed care is helpful
- Strong interpersonal, time management, and organizational skills
- Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
- Ability to work within a team environment and meet deadlines
- Current RN Licensure in state of operation
- Certification as a CCM, CIRS, or other Case Management certifications preferred
Benefits
- Medical (HDHP) w/Pharmacy
- Dental
- Vision
- Long Term Disability
- Health Savings Account
- Flexible Spending Account Options
- Life Insurance
- Accident Insurance
- Critical Illness Insurance
- Pre-paid Legal Insurance
- Parking and Transit FSA accounts
- 401K
- ROTH 401K
- Paid time off
