Medical Case Manager I
About The Position
CorVel Corporation is hiring a registered nurse to provide medical case management for injured workers in Hawaii. This remote role combines work from home with heavy local travel within an assigned jurisdiction. The position works Monday through Friday during regular business hours; local travel may comprise up to approximately 60% of the work week/month, and overnight travel may be required. The case manager collaborates with injured workers and their families, physicians, other healthcare providers, employers, referral sources, attorneys, and CorVel colleagues to facilitate recovery and coordinate care. The role uses nursing and medical knowledge to assess progress and treatment plans, discuss possible alternatives with physicians, and evaluate care for appropriateness, medical necessity, and cost effectiveness. Work includes in-person and telephonic case management, home and provider visits, discharge planning, and coordinating services such as durable medical equipment and nursing care. CorVel provides eligible Medical Case Managers with technological devices for access to its case management application. The position is eligible for a bonus. CorVel describes itself as a stable, growing company with a supportive culture and career advancement opportunities.
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 the current treatment plan and alternative 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, and attend home and, in some cases, attorney visits.
- Attend hospital and long-term facility discharge-planning conferences to assess appropriateness of care and develop long-term care strategies.
- Conduct home visits for initial evaluations.
- Implement care, including negotiating delivery of durable medical equipment and nursing services.
- Travel locally to assigned locations based on injured workers’ needs; overnight travel may also 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)
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
