CA Telephonic Case Manager II

CorVel Corporation; Folsom (CA); Remote; Full time

Job summary

A leading risk management solutions provider is seeking a Telephonic Case Manager II to coordinate resources for ill or injured individuals. This remote position requires strong medical knowledge, excellent communication skills, and the ability to manage multiple cases effectively. The role involves assessing treatment plans, coordinating with healthcare providers, and making medical recommendations. Join a company that values accountability and offers career growth in a stable environment.

Benefits

Health Insurance

Retirement Plans

Paid Time Off

Qualifications

• At least 3 years of recent clinical experience, preferably in rehabilitation.
• URAC recognized Case Management certification required within 3 years if not present at hire.

Responsibilities

• Provide medical case management through coordination with patients and healthcare providers.
• Evaluate treatment plans for appropriateness and cost-effectiveness.
• Make independent medical decisions and recommendations.

Skills

Communication

Multi-tasking

Time Management

Education

Bachelor’s degree

RN licensure

Case Management certification

Tools

MS Office

Job description

Join to apply for the CA Telephonic Case Manager II role at CorVel Corporation.

The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The role relies on medical knowledge to evaluate treatment plans and communicate with physicians, patients, families, and adjusters.

This is a remote position.

Essential Functions and Responsibilities

1. Provide medical case management through coordination with patients, physicians, healthcare providers, employers, and referral sources.
2. Assess, plan, implement, and evaluate patient progress.
3. Evaluate treatment plans for appropriateness, necessity, and cost-effectiveness.
4. Discuss treatment plans with physicians and suggest alternatives.
5. Make medical recommendations to payers.
6. Coordinate delivery of medical equipment and nursing services.
7. Make independent medical decisions and recommendations.
8. Develop cost-effective medical care strategies.
9. Read extensively and prepare organized reports within deadlines.
10. Use telephone extensively and maintain regular attendance.
11. Meet productivity standards and comply with safety rules.
12. Perform additional duties as required.

Knowledge & Skills

1. Multi-task effectively in a fast-paced environment.
2. Interface professionally with claims staff, attorneys, physicians, and clients.
3. Exhibit excellent communication skills.
4. Meet deadlines and demonstrate technical proficiency with MS Office.
5. Manage time and organize effectively, working independently and in teams.

Education and Experience

1. Bachelor’s degree required; BSN preferred.
2. Graduate of an accredited nursing school.
3. Current RN licensure in the state of operation.
4. At least 3 years of recent clinical experience, preferably in rehabilitation.
5. URAC recognized Case Management certification required within 3 years if not present at hire.
6. Experience in orthopedics, neurology, or rehabilitation preferred.
7. Background in utilization review or managed care is helpful.
8. Certification as CIRS or CCM is preferred.

Pay Range

Hourly rate: $31.46 - $47.59, depending on location, experience, and qualifications.

Benefits include health insurance, retirement plans, paid time off, and more. Details available on our website.

About CorVel

CorVel is a leading risk management solutions provider, recognized as a Great Place to Work. We value accountability, commitment, excellence, integrity, and teamwork, offering career growth in a stable environment.