Medical Case Manager II

🔥 18 hours ago

☕ Washington – Remote

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💵 $66.9k - $101.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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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 • Involve patients, physicians, healthcare providers, employers, and referral sources in case management • Use medical and nursing knowledge to discuss current 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’, providers’, home, and occasionally attorneys’ 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 • Manage a caseload of workers’ compensation injured workers within a defined jurisdiction • Collaborate with patients, families, medical providers, team members, and other stakeholders • Perform regular local travel, with possible overnight travel • Perform additional duties as required

🎯 Requirements

• Registered nurse (RN) • Graduate of an accredited school of nursing • Current RN licensure in the state of operation • RN Medical Case Manager experience 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 • Must reside in the Greater Spokane area • Effective communication and multitasking skills • Strong interpersonal, time management, and organizational skills • Computer proficiency and technical aptitude • Ability to use Microsoft Office, including Excel spreadsheets • Ability to work independently and within a team environment • Availability for local travel up to approximately 60% of the work week/month • May require overnight travel

🏖️ 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 • Medical Case Managers are eligible for bonus • State-of-the-art technological devices provided • Career advancement opportunities • Supportive company culture

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