Field Case Manager I
About The Position
CorVel Corporation is hiring a registered nurse for a Field (Medical) Case Manager position serving the Tampa, Florida area. The role involves working from home and traveling locally to support workers’ compensation claimants within an assigned jurisdiction. The schedule is Monday through Friday during regular business hours, with local travel for up to approximately 60% of the work week or month and possible overnight travel. The Medical Case Manager works with injured workers and their families to facilitate recovery, collaborating with patients, family members, physicians, other healthcare providers, employers, referral sources, and CorVel colleagues. The position assesses and coordinates care, evaluates treatment plans for appropriateness, medical necessity, and cost effectiveness, and helps arrange services and equipment. Full-time regular employees are eligible for a comprehensive benefits package. Medical Case Managers are also eligible for a bonus and receive technological devices that provide access to CorVel’s case management application.
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 or clients, and coworkers.
- Strong interpersonal, time management, and organizational skills.
- Computer proficiency and technical aptitude, including the 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, or a clinical background in orthopedics, neurology, or rehabilitation.
- Cost containment background, such as utilization review or managed care.
- Certification as a CCM, CIRS, or another case management certification.
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 the current treatment plan and possible alternatives with physicians.
- Assess, plan, implement, and evaluate patient progress.
- Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness.
- Attend appointments with doctors and other providers, as well as home visits and, in some cases, attorney visits.
- Attend hospital and long-term facility discharge planning conferences to assess care appropriateness and develop long-term care strategies.
- Conduct home visits for initial evaluations.
- Coordinate care, including arranging delivery of durable medical equipment and nursing services.
- Travel locally to assigned locations, with possible overnight travel.
- Perform additional duties as required.
Benefits
- Medical insurance (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 for Medical Case Managers
- Technological devices for access to CorVel’s case management application
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
