Medical Case Manager I

CorVel Career Site • Lawrenceville, GA

5d • Hybrid

About The Position

CorVel Corporation is seeking a registered nurse to provide medical case management to workers’ compensation patients in the listed Georgia areas. The position involves working from home and traveling locally to support injured workers and their families during recovery. The Medical Case Manager collaborates with patients, families, medical providers, employers, referral sources, and CorVel team members, managing a caseload within a defined jurisdiction. Regular local travel may account for approximately 60% of the work week/month, and overnight travel may be required.

The role provides in-person and telephonic case management, evaluates treatment plans and patient progress, coordinates care and services, and helps develop effective long-term care strategies. The position works Monday through Friday during regular business hours. CorVel describes itself as a national risk-management provider founded in 1987, publicly traded since 1991, and employing more than 4,000 people across the United States.

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

• National certification such as CCM, COHN, CRRN, or CDMS.
• 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.
• CCM, CIRS, or other 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 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 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 and develop long-term care strategies.
• Conduct home visits for initial evaluations.
• Coordinate care, including negotiating delivery of durable medical equipment and nursing services.
• Travel locally to work with a caseload of workers’ compensation patients; overnight travel may be required.
• Perform additional duties as required.

Benefits

• Medical (HDHP) with pharmacy coverage
• 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) and Roth 401(k)
• Paid time off
• Bonus eligibility for Medical Case Managers
• State-of-the-art technological devices for access to CorVel’s Case Management application

What This Job Offers

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