Field Case Manager II

CorVel Corporation • Franklin, TN

7d • $66,941 - $101,258 • Hybrid

About The Position

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Nashville, TN. This is a work-from-home role that also requires travel. The position involves working closely with injured workers to facilitate their recovery, collaborating with patients, families, medical providers, and other team members. It is a heavy local travel role responsible for managing a caseload of workers compensation injured workers within a defined jurisdiction.

Requirements

• Graduate of accredited school of nursing
• Current RN Licensure in state of operation
• A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required

Nice To Haves

• Experience as an RN Medical Case Manager is ideal
• Clinical background in orthopedics, neurology, or rehabilitation is preferred
• Certification as a CCM, CIRS, or other Case Management certifications preferred
• 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

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 their 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, etc. for the purpose of determining appropriateness of care and developing 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. 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

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
• bonus
• state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level