Medical Case Manager I

CorVel Career Site • Boise, ID

4d • Remote

About The Position

CorVel Corporation is hiring a registered nurse to work as a Medical Case Manager in Idaho. This remote role combines work from home with substantial local travel and requires candidates to reside in Idaho. The position supports injured workers and their families by coordinating recovery with patients, families, physicians, other healthcare providers, employers, referral sources, and CorVel team members. The caseload consists of workers’ compensation injured workers within an assigned jurisdiction. The schedule is Monday through Friday during regular business hours, with local travel that may reach approximately 60% of the work week/month and possible overnight travel.

The Medical Case Manager provides in-person and telephone case management, assesses and evaluates patient progress, and reviews treatment plans for appropriateness, medical necessity, and cost effectiveness. The role may involve attending medical appointments, home visits, attorney visits, and discharge-planning conferences, as well as coordinating durable medical equipment and nursing services.

CorVel describes itself as a national risk management solutions provider founded in 1987, publicly traded since 1991, and employing more than 4,000 people across the United States. The company says it offers a supportive culture and career advancement opportunities. Full-time regular employees are offered a comprehensive benefits package. Medical Case Managers are also eligible for a bonus and are provided technological devices for access to CorVel’s 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, other 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.
• Must reside in Idaho.

Nice To Haves

• Experience as an RN Medical Case Manager.
• Clinical background in orthopedics, neurology, or rehabilitation.
• Cost-containment background, such as utilization review or managed care.
• CCM, CIRS, or other case-management certification.

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 discuss alternate treatment plans.
• Assess, plan, implement, and evaluate patient progress.
• Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness.
• Attend appointments with doctors and other providers, home visits, and, in some cases, attorney visits.
• Attend hospital and long-term facility discharge-planning conferences to assess appropriate care and develop an effective long-term care strategy.
• Conduct home visits for initial evaluations.
• Coordinate care, including negotiating 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 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)
• Roth 401(k)
• Paid time off
• Bonus eligibility
• State-of-the-art technological devices for access to CorVel’s case management application

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level