Medical Case Manager II

CorVel Corporation•Spokane, WA

1d•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 the Spokane, WA area. This is a work-from-home role with regular business hours, Monday through Friday, involving local travel. As a Medical Case Manager, you will make a meaningful difference in the lives of injured workers and their families by working closely with them to facilitate their recovery. This role requires collaboration with the patient, their family, medical providers, team members, and others. It is a heavy local travel role responsible for managing a caseload of workers' compensation injured workers within a defined jurisdiction. Candidates must be a registered nurse in the state of Washington.

Requirements

Candidates must be a registered nurse in the state of Washington.
Current RN Licensure in state of operation
A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required
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

Nice To Haves

Experience as an RN Medical Case Manager is ideal
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
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
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
bonus
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