Medical Case Manager I
About The Position
CorVel Corporation is hiring a registered nurse to provide medical case management to workers’ compensation patients in designated areas of Georgia. The position works from home and on the road, Monday through Friday during regular business hours. It involves managing a caseload within a defined jurisdiction and working closely with injured workers and their families to facilitate recovery. The case manager collaborates with patients, families, medical providers, CorVel team members, employers, referral sources, and others. The role requires heavy local travel, potentially up to approximately 60% of the work week or month depending on the injured worker’s needs, and may require overnight travel. CorVel describes itself as a national provider of risk management solutions for workers’ compensation, auto, health, and disability management. Founded in 1987 and publicly traded since 1991, the company has more than 4,000 employees across the United States. Full-time regular employees receive 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.
Nice To Haves
- National certification such as CCM, COHN, CRRN, or CDMS.
- Experience as an RN Medical Case Manager, or a clinical background in orthopedics, neurology, or rehabilitation.
- Cost-containment background, such as utilization review or managed care.
- CCM, CIRS, or another 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 doctors’ and other providers’ visits, home visits, and, in some cases, attorney visits.
- Attend hospital and/or long-term facility discharge planning conferences to determine appropriateness of care and develop an effective long-term care strategy.
- Conduct a home visit for the initial evaluation.
- Implement care, including negotiating delivery of durable medical equipment and nursing services.
- Travel locally as required by injured workers’ injuries and needs, potentially up to approximately 60% of the work week or month, and travel overnight when required.
- Perform additional duties as required.
Benefits
- Medical (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)
- 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
