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$64k–$95k/yr
Full-time
professional certificate
Medical, Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account
Posted 16h ago
~40 hrs/week
Remote in Covington, Georgia, United States, Lawrenceville, Georgia, United States, Loganville, Georgia, United States, McDonough, Georgia, United States
Responsibilities
The Medical Case Manager facilitates the recovery of injured workers by coordinating care between patients, families, and medical providers. They are responsible for assessing treatment plans for medical necessity and cost-effectiveness while conducting in-person and telephonic case management.
Requirements
Candidates must be a registered nurse with a current state license and hold national certifications such as CCM, COHN, CRRN, or CDMS. A valid driver's license and the ability to travel locally for appointments are required.
Full job description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Lawrenceville, GA and surrounding areas.
Work from home, and on the road: Monday – Friday, regular business hours. Traveling outside of home for appointments in a 2-hour radius is required.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
Must be a registered nurse. Must have national certification – CCM, COHN, CRRN, CDMS.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
Provides assessment, planning, implementation, and evaluation of patient’s progress
Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness
Attends doctors, other providers, home and in some cases, attorney’s visits
Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
Conducts home visit for initial evaluation
Implements care such as negotiating the delivery of durable medical equipment and nursing services
This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel
Additional duties as required
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
A cost containment background, such as utilization review or managed care is helpful
Strong interpersonal, time management, and organizational skills
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
Graduate of accredited school of nursing
Current RN Licensure in state of operation
Certification as a CCM, CIRS, or other Case Management certifications preferred
A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL – Medical Case Managers:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes 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. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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Related keywords
Medical Case ManagerRegistered NurseWorkers CompensationCCMCOHNCRRNCDMSCase ManagementRisk ManagementUtilization ReviewManaged CareOrthopedicsNeurologyRehabilitationMicrosoft OfficeExcel
Raising the bar for care. Lowering risk for clients.
Industry
Insurance
Company size
1,001-5,000 employees
Founded
1987
Headquarters
Irvine, CA
LinkedIn followers
36,151
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. Our mission is to take care of people and business with risk management solutions that deliver better outcomes for our partners. We are publicly traded (NASDAQ:CRVL), and annual revenues exceed $959 million. Our continuous investments in technology, infrastructure, and human capital allow us to offer local customer service backed by national resources.
Offices: 1920 Main St, Suite 900, Irvine, CA 92614, US · 5th Avenue, Portland, OR 97204, US
Workers' CompensationMedical Bill ReviewCase ManagementPPO ManagementTelehealthReturn to WorkRisk ManagementAuto LiabilityGeneral LiabilityClaims Management
Raising the bar for care. Lowering risk for clients.
Industry
Insurance
Company size
1,001-5,000 employees
Founded
1987
Headquarters
Irvine, CA
LinkedIn followers
36,151
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. Our mission is to take care of people and business with risk management solutions that deliver better outcomes for our partners. We are publicly traded (NASDAQ:CRVL), and annual revenues exceed $959 million. Our continuous investments in technology, infrastructure, and human capital allow us to offer local customer service backed by national resources.
Offices: 1920 Main St, Suite 900, Irvine, CA 92614, US · 5th Avenue, Portland, OR 97204, US
Workers' CompensationMedical Bill ReviewCase ManagementPPO ManagementTelehealthReturn to WorkRisk ManagementAuto LiabilityGeneral LiabilityClaims Management