Medical Case Manager I

🕒 Setembro 22

🏄 California – Remoto

infoinfo

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🗣️🇺🇸🇬🇧 Inglês obrigatório

De onde vem esta vaga

Publicada na página de carreiras da CorVel Corporation, não em um site de vagas

Vista pela primeira vez pelo Remote Rocketship Setembro 22

Ainda aberta no site da CorVel Corporation. Verificada 7 horas atrás.

Logo of CorVel Corporation

CorVel Corporation

1001 - 5000 funcionários

Fundada em 1987

🏥 Saúde

💼 Consultoria

📦 Logística

Healthcare • Consulting • Logistics

A CorVel Corporation é uma empresa de gestão de riscos e serviços de saúde que fornece soluções integradas de sinistros e cuidados para pagadores e empregadores. Especializa-se em gestão de compensação de trabalhadores, responsabilidade civil e invalidez, redes de provedores e farmácias, e soluções alternativas de risco, além de oferecer plataformas tecnológicas que utilizam IA e análise de dados para agilizar a administração de sinistros, melhorar resultados e reduzir custos.

Descrição

• Provide in-person and telephonic Medical Case Management • Work closely with injured workers to facilitate recovery • Collaborate with patients, families, medical providers, team members, employers, referral sources, attorneys, advisors, and clients • Discuss current and alternate treatment plans with physicians using medical and nursing knowledge • Assess, plan, implement, and evaluate patient progress • Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness • Attend doctors’, providers’, home, and in some cases attorneys’ visits • Attend hospital and long-term facility discharge planning conferences • Determine appropriateness of care and develop long-term care strategies • Conduct home visits for initial evaluations • Negotiate delivery of durable medical equipment and nursing services • Manage a caseload of workers’ compensation injured workers within a defined jurisdiction • Travel locally up to approximately 60% of the work week/month • Comply with safety rules and regulations under the Injury and Illness Prevention Program • Perform additional duties as required

🎯 Requisitos

• Registered nurse (RN) • Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment • Ability to meet with patients, physicians, healthcare providers, attorneys, advisors/clients, and coworkers • Cost containment background, such as utilization review or managed care, helpful • Strong interpersonal, time management, and organizational skills • Computer proficiency and technical aptitude • Ability to utilize Microsoft Office, including Excel spreadsheets • Ability to work independently and within a team environment • Graduate of an accredited school of nursing • Current RN licensure in the state of operation • Certification as a CCM, CIRS, or other Case Management certification preferred • Valid driver’s license • Reliable transportation • Ability to travel to assigned locations • Experience as an RN Medical Case Manager is ideal • Clinical background in orthopedics, neurology, or rehabilitation preferred

🏖️ Benefícios

• Comprehensive benefits package for full-time regular employees • Medical (HDHP) with Pharmacy • Dental insurance • Vision insurance • 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 • ROTH 401K • Paid time off • Bonus eligibility for Medical Case Managers • State-of-the-art technological devices • Career advancement opportunities • Supportive culture • Great Place to Work® company

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