[Hiring] Medical Case Manager @CorVel Corporation

Role Description

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in California. Work from home, and on the road. Monday – Friday, regular business hours.

As a Medical Case Manager, you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.

• Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source.
• Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
• Provides assessment, planning, implementation, and evaluation of patient’s progress.
• Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.
• Attends doctors, other providers, home and in some cases, attorney’s visits.
• Attends hospital and/or long-term facility discharge planning conferences for the purpose of determining appropriateness of care and developing an effective long-term care strategy.
• Conducts home visit for initial evaluation.
• Implements care such as negotiating the delivery of durable medical equipment and nursing services.
• This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month.
• This role may require overnight travel.
• Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”).
• Additional duties as required.

Qualifications

• Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
• Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers.
• A cost containment background, such as utilization review or managed care is helpful.
• Strong interpersonal, time management, and organizational skills.
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets.
• Ability to work both independently and within a team environment.

Requirements

• Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
• Graduate of accredited school of nursing.
• Current RN Licensure in state of operation.
• Certification as a CCM, CIRS, or other Case Management certifications preferred.
• A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.

Benefits

• Comprehensive benefits package for full-time regular employees, including:
• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K and ROTH 401K
• Paid time off
• Medical Case Managers are eligible for bonuses and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application.