Medical Case Manager I

🔥 9 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $30 - $45 / hour

⏰ Full 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 • 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

🎯 Requirements

• 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

🏖️ Benefits

• 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