Field Case Manager I

CorVel Career Site•Tampa, FL

3d•Remote

About The Position

CorVel Corporation is hiring a registered nurse as a Field (Medical) Case Manager in the Tampa, Florida area. The position works from home and on the road during regular Monday–Friday business hours and manages workers’ compensation cases within a defined jurisdiction. It involves heavy local travel and collaboration with injured workers, their families, medical providers, employers, referral sources, and CorVel colleagues to support recovery. The case manager provides in-person and telephonic medical case management, applies nursing and medical knowledge to evaluate treatment and care plans, and coordinates appropriate, medically necessary, and cost-effective services. The role includes visits with patients and providers, discharge-planning conferences, home evaluations, and arrangements for services and equipment. Local travel may take up to approximately 60% of the work week/month, and overnight travel may be required.

Requirements

Graduate of an accredited school of nursing.
Current RN licensure in the state of operation.
Valid driver’s license, reliable transportation, and ability to travel to assigned locations.
Effective communication and multitasking skills in a high-volume, fast-paced, team-oriented environment.
Ability to meet with patients, physicians, other healthcare providers, attorneys, advisors/clients, and coworkers.
Strong interpersonal, time-management, and organizational skills.
Computer proficiency and technical aptitude, including ability to use Microsoft Office and Excel spreadsheets.
Ability to work independently and within a team environment.

Nice To Haves

Experience as an RN Medical Case Manager is ideal.
Clinical background in orthopedics, neurology, or rehabilitation is preferred.
Cost-containment background, such as utilization review or managed care, is helpful.
Certification as a CCM, CIRS, or other Case Management certification is preferred.

Responsibilities

Provide in-person and telephonic medical case management involving the patient, physician, other healthcare providers, employer, and referral source.
Use medical and nursing knowledge to discuss current and alternate treatment plans with physicians.
Assess, plan, implement, and evaluate patient progress.
Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness.
Attend visits with doctors, other providers, patients at home, and, in some cases, attorneys.
Attend hospital and/or long-term facility discharge-planning conferences to determine appropriate care and develop a long-term care strategy.
Conduct home visits for initial evaluations.
Coordinate care, including negotiating delivery of durable medical equipment and nursing services.
Travel regularly to assigned local locations; overnight travel may be required.
Perform additional duties as required.