Care Advocate Nurse

CorVel; Pennsylvania; Remote; USD 58,000 - 94,000; Full time

Job summary

A leading risk management firm is seeking a Care Advocate Nurse to oversee injury assessment and support the Claim Management department. This remote role requires a minimum of 2 years of clinical nursing experience and valid RN licensure. Responsibilities include communicating with injured workers, documenting treatment plans, and providing recommendations to the claim team. Competitive salary range is $58,282 – $93,870, with comprehensive benefits offered.

Benefits

Medical (HDHP) w/Pharmacy

Dental

Vision

401K

Paid time off

Qualifications

• Minimum of 2 years clinical nursing experience.
• Ability to manage multiple complex projects.
• Experience in Workers' Compensation is beneficial.

Responsibilities

• Oversee assessing the severity of reported injuries.
• Communicate with injured workers and medical providers.
• Document findings in the claim system.

Skills

Communication

Attention to detail

Project management

Customer service orientation

Technical aptitude

Education

Graduate of an approved accredited school of nursing

Current unencumbered RN Licensure

Tools

MS Office (Outlook, Word, Excel)

Job description

Overview

The Care Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers’ reported injury(ies), reviews medical data in CareMC, validates and secures medical information, assesses and evaluates prescribed treatment of work related injury. The Care Advocate Nurse functions as a nurse consultant, supporting the goals of the Claim Management department and of CorVel.

This is a remote opportunity.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES

• Initiates and receives telephonic contact with reported injured worker, employer and medical providers to obtain treatment plan, secures medical documentation, and assesses if injured worker has returned to work
• Responsible for detailed documentation within the claim system focusing on medical condition, treatment plan and return to work status
• Directs callers to appropriate medical and/or claim resources
• Identifies and communicates urgent situations related to treatment or patient condition directly to the claim team
• Functions as nurse consultant to the claim team
• Assesses appropriate medical follow up and makes necessary recommendations to the claim team, working closely with team to assist in identifying potential red-flags from the injury that may require further follow-up or additional services
• Adheres to the Care Advocate Nurse production standards and Account special handling guidelines
• Additional projects and duties as assigned

KNOWLEDGE & SKILLS

• Fundamental concepts, practices and procedures of early intervention in the field of Workers’ Compensation (WC)
• Ability to write and speak clearly, easily communicating complex ideas
• Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet production standards deadlines and maintaining strong customer service orientation
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Outlook, Word, Excel spreadsheets
• Strong interpersonal, time management and written communication skills
• Great attention to detail, and results focused
• Ability to work independently and as part of a team

EDUCATION/EXPERIENCE

• Minimum of 2 years clinical nursing experience
• Graduate of an approved accredited school of nursing
• Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained throughout employment with CorVel

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.

Pay Range: $58,282 – $93,870

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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.

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Equal Opportunity Employer
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