Field Case Manager I jobs in United States
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CorVel Corporation · 2 hours ago

Field Case Manager I

CorVel Corporation is a national provider of risk management solutions, and they are seeking a Medical Case Manager. This role involves working closely with injured workers to facilitate their recovery through in-person and telephonic case management, collaborating with various stakeholders to ensure effective treatment plans.

InsuranceSoftware

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

Qualification

RN LicensureMedical Case ManagementUtilization ReviewMicrosoft OfficeEffective CommunicationTime ManagementOrganizational SkillsInterpersonal SkillsTeamworkIndependent Work

Required

Registered Nurse (RN) licensure in the state of operation
Experience as an RN Medical Case Manager or a clinical background in orthopedics, neurology, or rehabilitation
Graduate of an accredited school of nursing
A valid driver's license and 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 with the ability to utilize Microsoft Office, including Excel spreadsheets
Ability to work both independently and within a team environment
Availability for local travel up to approximately 60% of the work week/month
Willingness to conduct home visits for initial evaluations
Ability to attend doctors, other providers, home visits, and hospital discharge planning conferences

Preferred

Certification as a CCM, CIRS, or other Case Management certifications
Cost containment background, such as utilization review or managed care

Benefits

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
Paid time off

Company

CorVel Corporation

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CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.

Funding

Current Stage
Public Company
Total Funding
unknown
1991-07-05IPO

Leadership Team

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Jeff Gurtcheff
Chief Claims Officer
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Maxim Shishin
CIO
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Company data provided by crunchbase