CA Medical Case Manager I

CorVel Career Site • Folsom, CA

5d • Remote

About The Position

CorVel Corporation is hiring a registered nurse to provide medical case management for workers’ compensation patients in California. This is a remote role involving work from home and extensive local travel within an assigned jurisdiction. The schedule is Monday through Friday during regular business hours; overnight travel may be required. 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 provides in-person and telephonic case management, assesses and evaluates patient progress, and reviews treatment plans for appropriateness, medical necessity, and cost effectiveness. The case manager may attend provider, home, attorney, hospital, and long-term care facility visits and discharge-planning conferences. The position also includes conducting initial home evaluations and coordinating care, including durable medical equipment and nursing services.

CorVel is a national provider of risk management solutions for workers’ compensation, auto, health, and disability management. The company describes itself as stable and growing, with 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 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 is ideal.
• Clinical background in orthopedics, neurology, or rehabilitation is preferred.
• Cost-containment background, such as utilization review or managed care, is helpful.
• Certification as a CCM, CIRS, or another case management certification is preferred.

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 alternatives 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 long-term care facility discharge-planning conferences to assess 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 locally to assigned locations, up to approximately 60% of the work week/month, depending on injured workers’ needs; overnight travel may be required.
• Comply with safety rules and regulations and the Injury and Illness Prevention Program.
• 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 for Medical Case Managers
• Technological devices for access to CorVel’s proprietary Case Management application

What This Job Offers

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