Field Case Manager II

CorVel Career Site•Fairfax, VA

2d•Hybrid

About The Position

CorVel Corporation is hiring a registered nurse as a Field Medical Case Manager in the Fairfax, Virginia area. The role works from home and on the road, Monday through Friday during regular business hours. The case manager works with injured workers and their families to facilitate recovery, collaborating with patients, families, medical providers, employers, referral sources, and CorVel colleagues. This is a heavy local-travel position managing workers’ compensation cases within a defined jurisdiction; travel may be up to approximately 60% of the work week/month and may include overnight trips. The case manager provides in-person and telephone medical case management, uses nursing and medical knowledge to review treatment plans with physicians and discuss alternatives, and assesses and evaluates patient progress and care. The role also involves attending medical, home, attorney, hospital, and long-term-care facility visits or discharge-planning conferences; conducting initial home evaluations; and coordinating services such as durable medical equipment and nursing care. CorVel is a national provider of risk management solutions for workers’ compensation, auto, health, and disability management. The company was founded in 1987 and has more than 4,000 employees across the United States. The position is eligible for a bonus and includes access to technological devices for CorVel’s case-management application. A comprehensive benefits package is available to full-time regular employees.

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, healthcare providers, attorneys, advisors/clients, and coworkers.
Strong interpersonal, time-management, and organizational skills.
Computer proficiency and technical aptitude, including use of 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.
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 treatment plans with physicians and discuss alternate treatment plans.
Assess, plan, implement, and evaluate patient progress.
Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness.
Attend doctors’ and other providers’ visits, home visits, and, in some cases, attorneys’ visits.
Attend hospital and long-term-care facility discharge-planning conferences to assess appropriateness of care and develop long-term care strategies.
Conduct home visits for initial evaluations.
Coordinate care, including negotiating the delivery of durable medical equipment and nursing services.
Travel locally to work with a caseload of workers’ compensation injured workers within a defined jurisdiction; overnight travel may be required.
Perform additional duties as required.

Benefits

Medical (HDHP) with pharmacy
Dental insurance
Vision insurance
Long-term disability insurance
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)
Paid time off
Bonus eligibility
State-of-the-art technological devices for access to CorVel’s case-management application