Medical Case Manager I

🕒 vor 12 Tagen

🏄 California – Remote

infoinfo

💵 $30 - $45 / Stunde

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 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 • Work closely with injured workers to facilitate recovery • Collaborate with patients, families, physicians, healthcare providers, employers, referral sources, attorneys, advisors/clients, and coworkers • 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 attorney visits • Attend hospital and long-term facility discharge planning conferences • Conduct home visits for initial evaluations • 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 • Travel locally up to approximately 60% of the work week/month • Complete occasional overnight travel • Comply with safety rules and regulations under the Injury and Illness Prevention Program • Perform additional duties as required

🎯 Anforderungen

• 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, or 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 • 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

🏖️ Vorteile

• 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 • State-of-the-art technological devices • Career advancement opportunities • Supportive culture • Work from home • Monday–Friday, regular business hours

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