Medical Case Manager II
About The Position
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Washington. This is a work-from-home role with regular business hours, Monday through Friday, requiring reliable transportation and residence in the Greater Spokane area. 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. You will collaborate with the patient, their family, medical providers, CorVel team members, and others. This is a heavy local travel role responsible for managing a caseload of workers' compensation injured workers within a defined jurisdiction.
Requirements
- 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.
- 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.
- A cost containment background, such as utilization review or managed care is helpful.
- 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.
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 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 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
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
