Medical Case Manager I

CorVel; Greenwood Village (CO); Hybrid; USD 64,000 - 95,000; Full time

Benefits offered by this job

Medical Insurance with HDHP

Dental Insurance

Vision Insurance

Long Term Disability

HSA & FSA

Life Insurance

Parking & Transit FSA

401K & Roth 401K

Paid Time Off

Job summary

CorVel seeks a caring and self-motivated registered nurse to fill the Medical Case Manager role, combining work from home with on-the-road duties. Focused on injured workers and families, the position supports case management through in-person and telephonic interactions within a national framework.

The role requires RN licensure, CCM or related certifications preferred, and a willingness to travel up to 60% locally.

Qualifications

• Graduate of accredited school of nursing.
• Current RN licensure in state of operation.
• CCM, CIRS, or other Case Management certifications preferred.

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 progress.
• Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness.
• Attend doctors, providers, home, and attorney visits.
• Attend hospital or long-term facility discharge planning conferences.
• Conduct home visits for initial evaluations.
• Coordinate care such as negotiating delivery of durable medical equipment and nursing services.
• Travel locally up to approximately 60% of the work week.

Skills

Case Management

Nursing

Communication

Education

RN Licensure (state of operation)

CCM Certification preferred

Job description

About This Role

CorVel is seeking a caring and self-motivated registered nurse to fill the Medical Case Manager position. 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: Greenwood Village, CO
• 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 evaluations.
• 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.
• Perform additional duties as required.

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, 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 to clients while fostering a supportive culture and offering career advancement opportunities.