Medical Case Manager I - Spanish Speaking
About The Position
CorVel Corporation is hiring a caring, self-motivated, energetic, and independent registered nurse for a Medical Case Manager position serving injured workers in El Paso, Texas. The role works from home and on the road, Monday through Friday during regular business hours. It involves managing a workers’ compensation caseload within a defined jurisdiction and collaborating with injured workers, their families, medical providers, CorVel colleagues, employers, referral sources, and others to facilitate recovery. This is a heavy local-travel role. Travel may be required up to approximately 60% of the work week or month, depending on the injured worker’s injuries and needs, and overnight travel may also be required. Medical Case Managers provide in-person and telephonic case management, evaluate care plans, coordinate services, and support effective, appropriate, and cost-conscious treatment. Full-time regular employees are eligible for CorVel’s comprehensive benefits package. Medical Case Managers are also eligible for a bonus and are provided technological devices for access to CorVel’s proprietary Case Management application.
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.
- Clinical background in orthopedics, neurology, or rehabilitation.
- Certification as a CCM, CIRS, or other 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 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 doctors’ and other providers’ visits, home visits, and, in some cases, attorneys’ visits.
- Attend hospital and/or long-term facility discharge planning conferences to assess appropriateness of care and develop an effective long-term care strategy.
- Conduct home visits for initial evaluations.
- Implement care, including negotiating the delivery of durable medical equipment and nursing services.
- Travel regularly to assigned local locations, with possible overnight travel.
- Perform additional duties as required.
Benefits
- Medical (HDHP) with 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 eligibility
- 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
Mid Level
