Medical Case Manager I - Spanish Speaking
About The Position
CorVel Corporation is hiring a registered nurse to provide medical case management for injured workers in El Paso, Texas. The role works from home and on the road, Monday through Friday during regular business hours. The Medical Case Manager supports injured workers and their families through recovery, collaborating with patients, families, medical providers, employers, referral sources, coworkers, and others. This is a heavy local-travel role managing workers’ compensation cases within a defined jurisdiction, with travel of up to approximately 60% of the work week or month and possible overnight travel. The position provides in-person and telephonic case management, assesses and evaluates patient progress and treatment plans, and uses nursing knowledge to discuss treatment options with physicians. It includes attending provider, home, and sometimes attorney visits; participating in discharge planning conferences; conducting initial home evaluations; and arranging care such as durable medical equipment and nursing services.
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, or a clinical background in orthopedics, neurology, or rehabilitation.
- Certification as a CCM, CIRS, or another case management certification.
- Cost containment background, such as utilization review or managed care.
Responsibilities
- Provide in-person and telephonic medical case management involving the patient, physician, other health care 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, other providers, patients at home, and, in some cases, attorneys.
- Attend hospital and long-term facility discharge planning conferences to determine appropriate care and develop long-term care strategies.
- Conduct home visits for initial evaluations.
- Implement care arrangements, including coordinating delivery of durable medical equipment and nursing services.
- Travel locally to assigned locations, with possible overnight travel.
- Perform additional duties as required.
Benefits
- Medical (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) and Roth 401(k)
- Paid time off
- Bonus eligibility
- State-of-the-art technological devices for access to CorVel’s proprietary Case Management application
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
