Medical Case Manager II

🕒 Setembro 16

🌲 Oregon – Remoto

🌲 Oregon – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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👻 Score fantasma 30%

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• Aberta há 57 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.
• Sem salário divulgado.

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CorVel Corporation

SiteLinkedInTodas as Vagas

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 to injured workers • Involve patients, physicians, healthcare providers, employers, referral sources, families, attorneys, advisors/clients, and coworkers in case management • 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, attorney, hospital, and long-term facility visits and discharge planning conferences • Conduct home visits for initial evaluations • Determine appropriateness of care and develop long-term care strategies • Negotiate delivery of durable medical equipment and nursing services • Manage a caseload of workers' compensation injured workers within a defined jurisdiction • Facilitate injured workers' recovery • Travel locally and potentially overnight, depending on worker injuries and needs • Retrieve documents and log activities using CorVel's proprietary Case Management application • Perform additional duties as required

🎯 Requisitos

• Registered nurse (RN) • Graduate of an accredited school of nursing • Current RN licensure in state of operation • Experience as an RN Medical Case Manager is ideal • Clinical background in orthopedics, neurology, or rehabilitation preferred • Certification as a CCM, CIRS, or other Case Management certification preferred • Valid driver's license • Reliable transportation • Ability to travel to assigned locations • Availability for local travel up to approximately 60% of the work week/month • Ability to work Monday–Friday during regular business hours • Effective communication and multitasking skills in a high-volume, fast-paced, team-oriented environment • Strong interpersonal, time management, and organizational skills • Computer proficiency and technical aptitude, including Microsoft Office and Excel spreadsheets • Ability to work independently and within a team environment • Cost containment background, such as utilization review or managed care, helpful

🏖️ Benefícios

• 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 • State-of-the-art technological devices • Career advancement opportunities • Supportive culture • Work from home

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