Medical Case Manager I

CorVel; Georgetown, Lexington (KY, KY); Hybrid; USD 64,000 - 95,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental and Vision insurance

Long Term Disability

Health Savings Account and Flexible Sp

Job summary

CorVel is seeking a caring and self-motivated registered nurse to fill the Medical Case Manager role in Georgetown, KY. The position offers a hybrid schedule with both remote work and on-site assessments, including travel to meet patients and providers as needed.

The ideal candidate holds an active Kentucky RN license, has case management experience or a clinical background in rehab or orthopedics, and is comfortable coordinating care, discussing treatment plans, and arranging durable medical

Qualifications

• Graduate of accredited school of nursing.
• Experience as an RN Medical Case Manager preferred.
• Clinical background in orthopedics, neurology, or rehabilitation preferred.
• Current RN Licensure in Kentucky.
• Preferred national certification – CCM, COHN, CRRN, CDMS.
• Valid driver’s license and reliable transportation required.

Responsibilities

• Provide in-person and telephonic Medical Case Management to individuals.
• Discuss treatment plans with physicians using medical and nursing knowledge.
• Assess, plan, implement, and evaluate patient's progress.
• Evaluate patient's treatment plan for appropriateness and medical necessity.
• Attend doctors' visits, home visits, and discharge planning conferences.
• Travel locally up to approximately 60% of the work week/month.

Skills

Case management

Home visits

Telephonic communication

Education

RN license

Job description

About This Role

CorVel is seeking a caring and self-motivated registered nurse to fill the Medical Case Manager position in Georgetown, KY. 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 from home and on the road.

Highlights

• Pay: $63,739 - $95,264/year
• Location: Georgetown, KY
• 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.
• Assess, plan, implement, and evaluate patient's progress.
• Evaluate patient's treatment plan for appropriateness and medical necessity.
• Attend doctors' visits, home visits, and discharge planning conferences.
• Conduct home visits for initial evaluations.
• Negotiate the delivery of durable medical equipment and nursing services.
• Travel locally up to approximately 60% of the work week/month.
• Perform additional duties as required.

Requirements

Education:

• Graduate of accredited school of nursing

Experience:

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

Licenses & Certifications:

• Current RN Licensure in Kentucky
• Preferred national certification – CCM, COHN, CRRN, CDMS
• Certification as a CCM, CIRS, or other Case Management certifications preferred
• 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, Critical Illness Insurance
• Pre-paid Legal Insurance
• 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 to clients while fostering a strong, supportive culture and career advancement opportunities for its employees.