Case Manager Jobs

About The Position

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 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 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 assess care and develop long-term care strategies.
• Conduct home visits for initial evaluations.
• Coordinate care, including negotiating delivery of durable medical equipment and nursing services.
• Travel locally to work with a caseload of workers’ compensation patients; 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