CA Medical Case Manager I

CorVel; San Diego (CA); Hybrid; USD 43,000 - 63,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Long Term Disability

Health Savings Account

Flexible Spending Account

Life Insurance

Accident Insurance

Critical Illness Insurance

Parking

401K and Roth 401K

Paid Time Off

Bonuses Possible

Devices for Case Management

Job summary

CorVel is seeking a registered nurse to fill a Medical Case Manager role in California. This position offers a hybrid work arrangement with remote and on-the-road duties, designed to support injured workers and their families.

You will handle in-person and telephonic case management, collaborate with physicians on treatment plans, and assess patient progress while ensuring medical necessity and cost effectiveness. Expect up to ~60% travel locally and standard business hours.

Qualifications

• RN licensure in the state of operation is required.
• CCM/CIRS or other case management certification preferred.
• Valid driver’s license and reliable transportation required.
• Experience as an RN Medical Case Manager is ideal; clinical background in orthopedics, neurology, or rehabilitation is preferred.

Responsibilities

• Provide in-person and telephonic Medical Case Management.
• Discuss treatment plans with physicians using nursing knowledge.
• Assess, plan, implement and evaluate patient progress.

Skills

Case management

Nursing knowledge

Communication

Education

Nursing degree

Job description

About This Role

CorVel is seeking a caring and self-motivated registered nurse to fill a Medical Case Manager position in California. This role is ideal for individuals who want to make a meaningful difference in the lives of injured workers and their families while working both remotely and on the road.

Highlights

• Pay: $31 - $46/hour
• Location: San Diego, CA
• Department/Unit: Case Management
• Schedule: Full-time, Monday – Friday, regular business hours

What You'll Do

• Provide in-person and telephonic Medical Case Management to individuals.
• Utilize medical and nursing knowledge to discuss treatment plans with physicians.
• Provide assessment, planning, implementation, and evaluation of patient's progress.
• Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness.
• Attend doctors, other providers, home, and attorney visits.
• Attend hospital and/or long-term facility discharge planning conferences.
• Conduct home visits for initial evaluation.
• Implement care such as negotiating the delivery of durable medical equipment and nursing services.
• Travel locally up to approximately 60% of the work week/month.
• Comply with all safety rules and regulations during working hours.

Requirements

Education:

• Graduate of accredited school of nursing

Experience:

• Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred

Licenses & Certifications:

• Current RN Licensure in state of operation
• Certification as a CCM, CIRS, or other Case Management certifications preferred
• A valid driver's license and reliable transportation required

Benefits

• Medical (HDHP) w/Pharmacy
• Dental and Vision insurance
• Long Term Disability
• Health Savings Account and Flexible Spending Account Options
• Life Insurance, Accident Insurance, and Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K and ROTH 401K
• Paid time off
• Eligibility for bonuses and provision of technological devices for case management

About CorVel

CorVel is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. Founded in 1987 and publicly traded since 1991, CorVel is committed to delivering innovative and integrated solutions while fostering a strong, supportive culture with ample career advancement opportunities.