Medical Case Manager II

🔥 13 hours ago

🌲 Oregon – Remote

🌲 Oregon – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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👻 Ghost score 10%

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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 • Involve patients, physicians, healthcare providers, employers, referral sources, families, attorneys, advisors/clients, and coworkers in case management • 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, attorney, hospital, and long-term facility visits and discharge planning conferences • Conduct home visits for initial evaluations • Determine appropriateness of care and develop long-term care strategies • Negotiate delivery of durable medical equipment and nursing services • Manage a caseload of workers' compensation injured workers within a defined jurisdiction • Facilitate injured workers' recovery • Travel locally and potentially overnight, depending on worker injuries and needs • Retrieve documents and log activities using CorVel's proprietary Case Management application • 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 • 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 • Ability to travel to assigned locations • Availability for local travel up to approximately 60% of the work week/month • Ability to work Monday–Friday during regular business hours • 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

• Medical (HDHP) with Pharmacy • Dental insurance • Vision insurance • Long-term disability insurance • Health Savings Account • Flexible Spending Account options • Life insurance • Accident insurance • Critical illness insurance • Pre-paid legal insurance • Parking and Transit FSA accounts • 401(k) • Roth 401(k) • Paid time off • Bonus eligibility • State-of-the-art technological devices • Career advancement opportunities • Supportive culture • Work from home