Medical Case Manager I

CorVel Corporation; Montgomery (AL); Hybrid; USD 63,739 - 95,264; Part time

Job summary

CorVel Corporation is seeking a registered nurse to fill a Medical Case Manager role in Troy, AL, serving Dothan and Montgomery. This part-time position is 30 hours per week with work-from-home and on-the-road responsibilities.

You will manage a caseload of injured workers, collaborating with patients, families, medical providers, and employers. Regular local travel up to ~60% and possible overnight travel are required.

Qualifications

• RN with valid state licensure and CCM/CIRS preferred.
• Experience in case management or related clinical field.
• Willing to travel locally up to 60% and overnight as required.

Responsibilities

• Provides in-person and telephonic Medical Case Management to individuals and stakeholders.
• Discusses current treatment plans with physicians and explores alternatives.
• Assesses, plans, implements, and evaluates patient progress.
• Evaluates treatment plan for medical necessity and cost effectiveness.
• Attends doctors’ visits and discharge planning conferences as needed.
• Conducts home visits for initial evaluation and coordinates care delivery.

Skills

Effective communication

Multi-tasking

Time management

Organizational skills

Travel readiness

Team collaboration

Education

RN licensure (state of operation)

CCM/CIRS certification preferred

Tools

Microsoft Office

Excel

Job description

CorVel Corporation is hiring a caring, self‑motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Troy, AL area that is able to service the Dothan, AL area and the Montgomery, AL area. Work from home, and on the road. Monday – Friday, regular business hours.

As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.

This is a part‑time role, working 30 hours per week.

Essential Functions & Responsibilities

• Provides in‑person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
• Utilizes medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
• Provides assessment, planning, implementation, and evaluation of the patient’s progress
• Evaluates the patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness
• Attends doctors, other providers, home and in some cases, attorney’s visits
• Attends hospital and/or long‑term facility discharge planning conferences, etc., for the purpose of determining appropriateness of care and developing an effective long‑term care strategy
• Conducts home visit for initial evaluation
• Implements care such as negotiating the delivery of durable medical equipment and nursing services
• This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
• This role may require overnight travel
• Additional duties as required

Knowledge & Skills

• Effective communication and multi‑tasking skills in a high‑volume, fast‑paced, team‑oriented environment
• Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
• A cost containment background, such as utilization review or managed care is helpful
• Strong interpersonal, time management, and organizational skills
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
• Ability to work both independently and within a team environment

Education & Experience

• Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
• Graduate of accredited school of nursing
• Current RN Licensure in state of operation
• Certification as a CCM, CIRS, or other case management certifications preferred
• A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required

Pay Range

Pay ranges may vary depending on location and other factors. Pay Range: $63,739 – $95,264.

Benefits

Our benefit offerings are available on the CorVel website.

CorVel is an equal opportunity employer, drug‑free workplace, and complies with ADA regulations as applicable.