CA Medical Case Manager II

CorVel; Folsom (CA); Hybrid; Full time

Job summary

A leading company is seeking a compassionate and independent Medical Case Manager to support injured workers. This role involves significant local travel and collaboration with various stakeholders to facilitate recovery. The ideal candidate will possess strong communication skills and a nursing background, with the flexibility to work from home and on the road.

Benefits

Comprehensive benefits package

401K and Roth 401K

Paid time off

State-of-the-art remote work devices

Bonuses for Medical Case Managers

Qualifications

• Experience as an RN or Medical Case Manager preferred.
• Clinical background in orthopedics, neurology, or rehabilitation advantageous.

Responsibilities

• Provide Medical Case Management through communication with patients and providers.
• Evaluate treatment plans for appropriateness and medical necessity.
• Coordinate care and negotiate delivery of medical equipment.

Skills

Effective communication

Multi-tasking

Interpersonal skills

Time management

Organizational skills

Education

Graduate of an accredited nursing school

Current RN licensure

CCM certification

Tools

MS Office

Job description

CorVel Corporation is hiring a caring, self-motivated, energetic, and independent registered nurse to fill a Medical Case Manager position.

This role offers the flexibility to work from home and on the road, Monday – Friday, during regular business hours.

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 collaborate with the patient, their family, medical providers, team members, and others. This position involves significant local travel, managing a caseload of workers' compensation injured workers within a defined jurisdiction.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Provide Medical Case Management through in-person and telephonic communication with patients, physicians, healthcare providers, employers, and others.
• Use medical and nursing knowledge to discuss current treatment plans with physicians and consider alternative options.
• Evaluate treatment plans for appropriateness, medical necessity, and cost-effectiveness.
• Assess, plan, implement, and evaluate patients’ progress.
• Attend doctors' visits, provider meetings, home visits, and, in some cases, attorney visits.
• Participate in hospital and long-term care discharge planning conferences to determine care appropriateness and develop long-term care strategies. Conduct initial home evaluations.
• Coordinate care, including negotiating the delivery of durable medical equipment and nursing services.
• This role requires regular local travel, approximately up to 60% of the work week/month, and may include overnight travel.

KNOWLEDGE & SKILLS:

• Effective communication and multi-tasking skills in a fast-paced, team-oriented environment.
• Experience as an RN or Medical Case Manager is preferred; a clinical background in orthopedics, neurology, or rehabilitation is advantageous.
• Ability to meet with patients, physicians, healthcare providers, attorneys, and colleagues.
• Background in cost containment, utilization review, or managed care is helpful.
• Strong interpersonal, time management, and organizational skills.
• Proficiency with MS Office, including Excel.
• Ability to work independently and as part of a team.

EDUCATION & EXPERIENCE:

• Graduate of an accredited nursing school.
• Current RN licensure in the state of operation.
• Preferred certifications include CCM, CIRS, or other case management credentials.
• Valid driver’s license, reliable transportation, and willingness to travel to assigned locations.

PAY RANGE:

Pay ranges from $31.46 to $47.59 per hour, depending on location, experience, and qualifications. CorVel uses a market-based approach for compensation, which may be adjusted at any time.

New hires may be placed at different levels (I, II, III, Senior, Lead, etc.) based on assessment during the interview process, which can affect salary ranges. These details will be clarified during the offer stage.

Additional benefits and company information can be found on our website: CorVel Careers | Opportunities in Risk Management.

Our opportunities are typically posted for up to one year or until the position is filled.

ABOUT CORVEL:

CorVel, a Great Place to Work-certified company, provides risk management solutions across various industries. Founded in 1987 and publicly traded since 1991, we invest in our people and technology to deliver innovative solutions. With over 3,500 employees nationwide, we uphold values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!).

We offer a comprehensive benefits package, including medical, dental, vision, disability, health savings accounts, FSA options, life insurance, accident and critical illness coverage, legal insurance, parking, transit FSA, 401K, Roth 401K, and paid time off. Medical Case Managers are eligible for bonuses and will be provided with state-of-the-art devices for remote work.

CorVel is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations.

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