Telephonic Case Manager I

🕒 Setembro 29

🏄 California – Remoto

🏄 California – Remote

💵 $30 - $45 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 13%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 44 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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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 medical case management through coordination with patients, physicians, healthcare providers, employers, and referral sources • Assess, plan, implement, and evaluate patient progress • Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness • Use medical and nursing knowledge to discuss current and alternative treatment plans with physicians • Make medical recommendations to the payer • Negotiate and coordinate delivery of durable medical equipment and nursing services • Devise cost-effective medical care strategies • Prepare organized reports within specified timeframes • Maintain a minimum productivity standard of 95% per month • Comply with safety rules and regulations under the Injury and Illness Prevention Program • Perform additional duties as assigned

🎯 Requisitos

• Bachelor’s degree required; BSN preferred • Graduate of accredited school of nursing • Current RN Licensure in state of operation • 3 or more years of recent clinical experience • URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire • Strong clinical background in orthopedics, neurology, or rehabilitation preferred • Strong cost containment background, such as utilization review or managed care helpful • Certification as a CIRS or CCM preferred • Ability to make independent medical decisions and recommendations • Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment • Ability to interface with claims staff, attorneys, physicians and their representatives, advisors/clients, and coworkers • Excellent written and verbal communication skills • Ability to meet designated deadlines • Computer proficiency and technical aptitude, including MS Office and Excel spreadsheets • Strong interpersonal, time management, and organizational skills • Ability to work independently and within a team environment

🏖️ Benefícios

• 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 • Career advancement opportunities • Remote work

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