Medical Case Manager I

🕒 vor 15 Tagen

🏄 California – Remote

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💵 $30 - $45 / Stunde

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of CorVel Corporation

CorVel Corporation

1001 - 5000 Mitarbeiter

Gegründet 1987

🏥 Gesundheitswesen

💼 Beratung

📦 Logistik

Healthcare • Consulting • Logistics

Die CorVel Corporation ist ein Unternehmen für Risikomanagement und Gesundheitsdienstleistungen, das integrierte Schadenmanagement- und Pflege-Lösungen für Kostenträger und Arbeitgeber anbietet. Es spezialisiert sich auf Arbeitsunfallmanagement, Haftungs- und Invaliditätsmanagement, Anbieter- und Apothekennetzwerke sowie alternative Risikolösungen. Zudem bietet es Technologieplattformen, die KI und Datenanalysen nutzen, um die Schadenverwaltung zu optimieren, Ergebnisse zu verbessern und Kosten zu senken.

Beschreibung

• Provide in-person and telephonic Medical Case Management to injured workers • Work closely with injured workers to facilitate recovery • Collaborate with patients, families, physicians, healthcare providers, employers, referral sources, team members, attorneys, and other stakeholders • 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’, healthcare providers’, home, and sometimes attorneys’ visits • Attend hospital and long-term facility discharge planning conferences • 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 • Conduct heavy local travel and occasional overnight travel • Comply with safety rules and regulations under the Injury and Illness Prevention Program • Perform additional duties as required

🎯 Anforderungen

• Registered nurse with current RN Licensure in state of operation • Graduate of accredited school of nursing • 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 certifications preferred • Valid driver’s license and reliable transportation required • Ability to travel to assigned locations required, including local travel up to approximately 60% of the work week/month • Ability to work Monday–Friday during regular business hours • Effective communication and multi-tasking 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 • Ability to meet with patients, physicians, healthcare providers, attorneys, advisors/clients, and coworkers • Overnight travel may be required

🏖️ Vorteile

• Comprehensive benefits package 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, ROTH 401K, and paid time off • Bonus eligibility for Medical Case Managers • State-of-the-art technological devices • Career advancement opportunities • Great Place to Work® company culture • Equal Opportunity Employer and drug-free workplace

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