CorVel Corporation is hiring a caring, self‑motivated, energetic and independent registered nurse to fill a Medical Case Manager position. Work from home and on the road during Monday‑Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This heavy local travel role involves working with a caseload of workers’ compensation injured workers within a defined jurisdiction.
Essential Functions & Responsibilities
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
Attends hospital and/or long‑term facility discharge planning conferences to determine appropriateness of care and develop an effective long‑term care strategy
Conducts home visit for initial evaluation
Implements care such as negotiating the delivery of durable medical equipment and nursing services
This role requires regular travel, dependent on the injured worker’s injuries and needs, and the employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel
Additional duties as required
Knowledge & Skills
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 both independently and within a team environment
Education & Experience
Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
Graduate of accredited school of nursing
Current RN Licensure in state of operation
Certification as a CCM, CIRS, or other Case Management certifications preferred
A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required
Pay Range
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account federal, state, and local minimum wage requirements, the 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 (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $62,306 – $93,123.
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, 401(k), ROTH 401(k), and paid time off. In addition, Medical Case Managers are eligible for bonuses 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.
About CorVel
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. Founded in 1987 and publicly traded on NASDAQ since 1991, CorVel invests in human capital and technology to deliver innovative and integrated solutions. With over 4,000 people across the U.S., our core values are Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE‑IT!).
Legal & EEO Statement
CorVel is an Equal Opportunity Employer, drug‑free workplace, and complies with ADA regulations as applicable.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Insurance
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