Medical Case Manager I

CorVel; Honolulu (HI); On-site; USD 64,000 - 95,000; Full time

Benefits offered by this job

Medical insurance

Dental and Vision

Long Term Disability

HSA/FSAs

Life insurance

Paid time off

401K

Job summary

Cor Vel is seeking a registered nurse for a Medical Case Manager role in Hawaii. You will support injured workers through in-person and telephonic case management, coordinating care with physicians and providers.

The position requires RN licensure, clinical nursing experience, and CCM/CIRS certifications preferred; travel up to 60% and a full-time schedule with regular business hours are expected. Competitive benefits and growth opportunities are offered.

Qualifications

• Graduate of accredited nursing program.
• Experience as an RN Medical Case Manager is ideal.
• Clinical background in orthopedics, neurology, or rehabilitation preferred.
• Current RN Licensure in state of operation.
• Certification as a CCM, CIRS, or other Case Management certifications preferred.
• 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 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 evaluation.
• Coordinate care including durable medical equipment and nursing services.
• Travel locally up to ~60% of the work week.

Skills

Case management

Clinical assessment

Documentation

Education

Nursing degree

Job description

About This Role

CorVel is seeking a caring and self-motivated registered nurse to fill the Medical Case Manager position in Hawaii. This role involves working closely with injured workers to facilitate their recovery through in-person and telephonic case management.

Highlights

• Pay: $63,739 - $95,264/year
• Location: Honolulu, HI
• 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 evaluation.
• 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
• Clinical background in orthopedics, neurology, or rehabilitation preferred
• Licenses & Certifications: Current RN Licensure in state of operation
• 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 InsurancePre-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 while fostering a strong, supportive culture with ample career advancement opportunities.