Medical Case Manager I

🔥 14 minutes ago

🏈 Alabama – Remote

🏈 Alabama – Remote

💵 $63.7k - $95.3k / year

⏱ Part Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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CorVel Corporation

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1987

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

CorVel Corporation is a risk management and healthcare services company that provides integrated claims and care solutions for payors and employers. It specializes in workers' compensation, liability and disability management, provider and pharmacy networks, and alternative risk solutions, and it offers technology platforms that use AI and data analytics to streamline claims administration, improve outcomes, and reduce costs.

📋 Description

• Provide in-person and telephonic Medical Case Management to injured workers • Collaborate with patients, families, physicians, healthcare providers, employers, referral sources, attorneys, clients, and coworkers • Use medical and nursing knowledge to discuss treatment plans 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’, healthcare providers’, home, and occasionally 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 • Travel locally up to approximately 60% of the work week/month and potentially travel overnight • Perform additional duties as required

🎯 Requirements

• 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, and ability to travel to assigned locations required • Ability to meet with patients, physicians, healthcare providers, attorneys, advisors/clients, and coworkers • 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

🏖️ Benefits

• Bonus eligibility for Medical Case Managers • State-of-the-art technological devices • Comprehensive benefits package for full-time regular employees, including Medical (HDHP) with 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 • Career advancement opportunities • Supportive culture