Overview CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Columbia, SC area. This is a heavy local travel role responsible for a caseload of workers' compensation injured workers within a defined jurisdiction. Work from home, and on the road. Monday – Friday, regular business hours.
Responsibilities Provides Medical Case Management to individuals through in-person and telephonic communications with the patient, physician, other health care providers, employer and others.
Utilizes medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.
Provides assessment, planning, implementation and evaluation of patient’s progress.
Attends doctors, other providers, home and in some cases, attorney visits.
Attends hospital and/or long-term facility discharge planning conferences to determine appropriateness of care and develop an effective long-term care strategy. Initial home visit for initial evaluation.
Implements care, including negotiation of the delivery of durable medical equipment and nursing services.
This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month.
This role may require overnight travel.
Knowledge & Skills Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
Experience as a RN; Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and 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 MS Office including Excel spreadsheets.
Ability to work both independently and within a team environment.
Education & Experience Graduate of accredited school of nursing.
Current RN Licensure in state of operation.
Certification as a CCM, CIRS, or other Case Management certifications are preferred.
A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.
Pay Range Pay Range: $65,436 - $98,982. CorVel uses a market based approach to pay and our salary ranges may vary depending on location. Pay rates are established taking into account federal, state, and local minimum wage requirements, geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles, new hires may be slotted into a different level based on assessment during the interview process.
About CorVel – Medical Case Managers CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
Benefits A comprehensive benefits package is available for full-time regular employees and includes 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, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.