Medical Case Manager I

🔥 12 hours ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 • Work closely with injured workers to facilitate recovery • Collaborate with patients, families, medical providers, team members, employers, referral sources, attorneys, advisors, and clients • 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’, providers’, home, and in some cases attorneys’ visits • Attend hospital and long-term facility discharge planning conferences • Determine appropriateness of care and develop long-term care strategies • 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 • Comply with safety rules and regulations under the Injury and Illness Prevention Program • Perform additional duties as required

🎯 Requirements

• Registered nurse (RN) • Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment • Ability to meet with patients, physicians, healthcare providers, attorneys, advisors/clients, and coworkers • Cost containment background, such as utilization review or managed care, helpful • 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 • Graduate of an accredited school of nursing • Current RN licensure in the state of operation • Certification as a CCM, CIRS, or other Case Management certification preferred • Valid driver’s license • Reliable transportation • Ability to travel to assigned locations • Experience as an RN Medical Case Manager is ideal • Clinical background in orthopedics, neurology, or rehabilitation preferred

🏖️ Benefits

• Comprehensive benefits package for full-time regular employees • 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 for Medical Case Managers • State-of-the-art technological devices • Career advancement opportunities • Supportive culture • Great Place to Work® company