Medical Case Manager I
About The Position
CorVel Corporation is hiring a registered nurse to provide medical case management to injured workers in the Pensacola, Florida area. The role works from home and on the road during regular business hours, Monday through Friday, and involves a caseload of workers’ compensation cases within a defined jurisdiction. It requires substantial local travel, approximately 60% of the work week or month depending on the injured workers’ needs, and may require overnight travel. The Medical Case Manager works with injured workers and their families to facilitate recovery, coordinating with patients, physicians, other healthcare providers, employers, referral sources, attorneys, and CorVel team members. The role includes in-person and telephone case management, reviewing treatment plans, assessing patient progress and care needs, and coordinating services and discharge planning. This position is intended for a registered nurse with a nursing degree from an accredited school and current RN licensure in the state of operation. RN case management experience is ideal; clinical experience in orthopedics, neurology, or rehabilitation and case management certifications are preferred. A valid driver’s license, reliable transportation, and ability to travel to assigned locations are required. The stated pay range is $63,739–$95,264, with compensation varying based on factors including location, skills, experience, qualifications, internal equity, and market conditions. Full-time regular employees are offered a comprehensive benefits package. Medical Case Managers are 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
- 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 and possible 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, other providers, patients at home, and, in some cases, attorneys.
- Attend hospital and/or long-term facility discharge planning conferences to determine 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 regularly to assigned locations, with local travel up to approximately 60% of the work week/month; overnight travel may be 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) 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
Mid Level
