Medical Case Manager II

🕒 il y a 7 jours

☕ Washington – Distant

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💵 $66 941 - $101 258 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

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👻 Score fantôme 0%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of CorVel Corporation

CorVel Corporation

1001 - 5000 employés

Fondée en 1987

🏥 Santé

💼 Conseil

📦 Logistique

Healthcare • Consulting • Logistics

CorVel Corporation est une entreprise de gestion des risques et de services de santé qui propose des solutions intégrées de gestion des réclamations et de soins pour les payeurs et les employeurs. Elle se spécialise dans la gestion des indemnisations des travailleurs, la gestion des responsabilités et des incapacités, les réseaux de prestataires et de pharmacies, ainsi que les solutions de risques alternatifs. Elle offre des plateformes technologiques utilisant l'IA et l'analyse de données pour simplifier l'administration des réclamations, améliorer les résultats et réduire les coûts.

Description

• 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 • Manage a caseload of workers’ compensation injured workers within a defined jurisdiction • Discuss current and alternate treatment plans with physicians • 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 or conferences • Determine appropriateness of care and develop long-term care strategies • Negotiate delivery of durable medical equipment and nursing services • Travel locally up to approximately 60% of the work week/month • Perform additional duties as required

🎯 Exigences

• Must be a registered nurse • Must reside in the Tacoma/Olympia area of Washington • Reliable transportation • Experience as an RN Medical Case Manager is ideal • Clinical background in orthopedics, neurology, or rehabilitation is preferred • Graduate of an accredited school of nursing • Current RN Licensure in state of operation • Certification as a CCM, CIRS, or other Case Management certifications preferred • Valid driver’s license • Ability to travel to assigned locations • 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 • Ability to utilize Microsoft Office, including Excel spreadsheets • Ability to work independently and within a team environment • Cost containment background, such as utilization review or managed care, is helpful

🏖️ Avantages

• 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 • Work from home

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