Medical Case Manager I
About The Position
CorVel Corporation is hiring a registered nurse to work as a Medical Case Manager in Hawaii. The position is remote, with work performed from home and in the field. The role works Monday through Friday during regular business hours and involves managing a caseload of workers’ compensation patients within a defined jurisdiction. It requires substantial local travel, up to approximately 60% of the work week/month, and may require overnight travel. The Medical Case Manager works with injured workers and their families to facilitate recovery, collaborating with patients, physicians, other healthcare providers, employers, referral sources, attorneys, clients, and coworkers. The role provides in-person and telephone case management, assesses patient progress and treatment plans, coordinates care and discharge planning, and helps arrange services and equipment. CorVel describes itself as a national provider of risk management solutions for workers’ compensation, auto, health, and disability management. Founded in 1987, the company is publicly traded on NASDAQ and has more than 4,000 employees across the United States. It identifies Accountability, Commitment, Excellence, Integrity, and Teamwork as its core values.
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 is ideal.
- Clinical background in orthopedics, neurology, or rehabilitation is preferred.
- Certification as a CCM, CIRS, or other case-management certification is preferred.
- A cost-containment background, such as utilization review or managed care, is helpful.
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 with physicians and consider alternate treatment plans.
- 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 assess appropriateness of care and develop long-term care strategies.
- Conduct home visits for initial evaluations.
- Coordinate care, including arranging delivery of durable medical equipment and nursing services.
- Travel locally to assigned locations, up to approximately 60% of the work week/month; overnight travel may be required.
- Perform additional duties as required.
Benefits
- Medical insurance (HDHP) with pharmacy coverage
- 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 for Medical Case Managers
- State-of-the-art 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
