Medical Case Manager I
About The Position
CorVel Corporation is hiring a registered nurse to provide medical case management for injured workers in Denver, Colorado. The role works from home and on the road during regular business hours, Monday through Friday, and involves a caseload within a defined jurisdiction. The Medical Case Manager works with injured workers and their families to support recovery, collaborating with patients, physicians, other healthcare providers, employers, referral sources, attorneys, clients, and CorVel colleagues. This is a heavy local-travel position, with travel up to approximately 60% of the work week/month depending on the injured worker’s needs. Overnight travel may be required. Medical Case Managers are eligible for a bonus and receive technological devices for access to CorVel’s case management application while on the go.
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 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 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 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 and develop an effective long-term care strategy.
- Conduct home visits for initial evaluations.
- Arrange care, including negotiating the delivery of durable medical equipment and nursing services.
- Travel locally to assigned locations, with overnight travel potentially required.
- 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
- 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
