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Rancho Cucamonga, California, United States · Remote OK
$25/hr–$41/hr
Entry level
The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible …
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$25/hr–$41/hr
Full-time
associate degree, bachelor degree
Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options
Posted 34d ago
~40 hrs/week
Remote in United States
Responsibilities
Provide telephonic first aid and treatment recommendations to injured workers using national triage protocols. Document clinical assessments and communicate care plans to customers and supervisors.
Requirements
Requires a Registered Nurse license in a compact state and at least 3 years of clinical experience in urgent care, ER, or occupational medicine. Must have a nursing diploma or degree and meet specific home internet speed requirements.
Full job description
The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case basis using nationally recognized standards of care to facilitate treatment goals. The position is an essential role, requiring the ability to work a variety of shifts to cover 24/7 duties including evenings, nights, weekends and holidays.
Candidates must reside in a nursing compact state.
This role requires internet upload and download speeds of at least 80Mbps.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides telephonic assessment and makes treatment recommendation of injured workers using national telephonic triage protocols
Recommends appropriate provider, based on state law and employer’s preferred provider network requirements
Educates caller on self-care instructions in accordance with national telephonic triage protocols
Communicates plan of care to customer contacts and/or supervisor
Evaluates injured worker’s response to first aid recommendations within a specified timeframe
Documents clinical assessments in organized, concise format and submits written reports within a specified timeframe
Obtains and maintains licensure as a Registered Nurse in 50 states and the District of Columbia
Additional duties as assigned
KNOWLEDGE & SKILLS:
Fundamental concepts, practices and procedures of triage in the field of Workers’ Compensation (WC)
Ability to solve problems rapidly and handle medical emergencies over the phone
Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet deadlines and maintaining strong customer service orientation
Excellent verbal and written communication skills
Strong interpersonal skills
Great attention to detail, and results focused
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)
Current RN licensure in Nurse Licensure Compact (NLC) state with multistate designation
3 or more years of clinical experience in occupational medicine, urgent care, emergency room, home health care (Telephone triage/Workers’ Compensation experience preferred)
Microbiology 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
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.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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
35,536
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
35,536
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