Medical Case Manager I
About The Position
CorVel Corporation is seeking a caring, self-motivated, energetic, and independent registered nurse for a Medical Case Manager position serving injured workers in Idaho. The role is remote, with work from home and extensive local travel; candidates must reside in Idaho. The schedule is Monday through Friday during regular business hours. The position manages a workers’ compensation caseload within an assigned jurisdiction and works collaboratively with injured workers, families, medical providers, employers, referral sources, and CorVel colleagues to facilitate recovery. The Medical Case Manager provides in-person and telephonic case management, evaluates treatment plans and patient progress, coordinates care and services, and helps develop effective long-term care strategies. Regular travel may take up to approximately 60% of the work week/month depending on workers’ injuries and needs, and overnight travel may be required. CorVel is a national provider of risk management solutions for workers’ compensation, auto, health, and disability management. The company was founded in 1987, has been publicly traded since 1991, and has more than 4,000 employees across the United States. Full-time regular employees are offered a comprehensive benefits package. Medical Case Managers are also eligible for a bonus and receive 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, or a 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 health care providers, employer, and referral source.
- Use medical and nursing knowledge to discuss current and alternate treatment plans with physicians.
- Assess, plan, implement, and evaluate patient progress.
- Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness.
- Attend visits with doctors and other providers, as well as home visits and, in some cases, attorney visits.
- Attend hospital and long-term facility discharge planning conferences to determine appropriateness of care and develop long-term care strategies.
- Conduct an initial home visit for evaluation.
- Coordinate care, including negotiating delivery of durable medical equipment and nursing services.
- Travel locally to assigned locations, up to approximately 60% of the work week/month depending on injured workers’ needs; overnight travel may be required.
- 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) and Roth 401(k)
- Paid time off
- Bonus eligibility for Medical Case Managers
- 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
