Medical Case Manager I

🔥 0 minutes ago

🏄 California – Remote

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💵 $30 - $45 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of CorVel Corporation

CorVel Corporation

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, attorneys, advisors/clients, and coworkers • Use medical and nursing knowledge to discuss current 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 attorney visits • Attend hospital and long-term facility discharge planning conferences • Determine appropriateness of care and develop effective long-term care strategies • Conduct home visits for initial evaluations • Negotiate delivery of durable medical equipment and nursing services • Maintain compliance with safety rules and regulations under the Injury and Illness Prevention Program • Perform additional duties as required

🎯 Requirements

• Registered nurse (RN) • Graduate of an accredited school of nursing • Current RN Licensure in state of operation • Valid driver’s license • Reliable transportation • Ability to travel to assigned locations • 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 • 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 • Experience as an RN Medical Case Manager is ideal • Clinical background in orthopedics, neurology, or rehabilitation is preferred • Cost containment background, such as utilization review or managed care, is helpful • Certification as a CCM, CIRS, or other Case Management certification is preferred • Ability to travel locally up to approximately 60% of the work week/month • Ability to work Monday–Friday during regular business hours • Ability to work from home and on the road • Ability to undertake overnight travel if required

🏖️ Benefits

• 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 • Equal Opportunity Employer • Drug-free workplace

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