Medical Case Manager I

CorVel Career Site•Greenwood Village, CO

4h•Hybrid

About The Position

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Colorado. Work from home, and on the road. Monday – Friday, regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans Provides assessment, planning, implementation, and evaluation of patient’s progress Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness Attends doctors, other providers, home and in some cases, attorney’s visits Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy Conducts home visit for initial evaluation Implements care such as negotiating the delivery of durable medical equipment and nursing services This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month This role may require overnight travel Additional duties as required

Requirements

Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
Strong interpersonal, time management, and organizational skills
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
Ability to work both independently and within a team environment
Graduate of accredited school of nursing
Current RN Licensure in state of operation
A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required

Nice To Haves

Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
Certification as a CCM, CIRS, or other Case Management certifications preferred
A cost containment background, such as utilization review or managed care is helpful

Responsibilities

Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
Provides assessment, planning, implementation, and evaluation of patient’s progress
Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness
Attends doctors, other providers, home and in some cases, attorney’s visits
Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
Conducts home visit for initial evaluation
Implements care such as negotiating the delivery of durable medical equipment and nursing services
This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel
Additional duties as required

Benefits

Medical (HDHP) w/Pharmacy
Dental
Vision
Long Term Disability
Health Savings Account
Flexible Spending Account Options
Life Insurance
Accident Insurance
Critical Illness Insurance
Pre-paid Legal Insurance
Parking and Transit FSA accounts
401K
ROTH 401K
paid time off
Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.