Medical Case Manager I

CorVel Corporation; Newnan (GA); Híbrido; USD 64.000 - 95.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits (HDHP) w/ Pharmacy

Dental insurance

Vision insurance

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

Descripción de la vacante

CorVel Corporation is seeking a caring, self-motivated registered nurse to fill a Medical Case Manager role across Georgia including Newnan, Columbus, LaGrange, Fayetteville, Stockbridge and Metro Atlanta. The position involves work from home and travel, with typical hours Monday–Friday.

As a Medical Case Manager, you will coordinate with injured workers, families, medical providers, and employers to advance recovery, using your nursing knowledge to discuss treatment plans, assess progress, and

Formación

• RN licensure in state of operation
• Graduate of accredited school of nursing
• National certification (CCM/COHN/CRRN/CDMS) preferred

Responsabilidades

• Provide in-person and telephonic Medical Case Management.
• Discuss current treatment plans with physicians and discuss alternatives.
• Assess, plan, implement, and evaluate patient progress.
• Evaluate treatment plan for medical necessity and cost effectiveness.
• Attend doctors’ visits and discharge planning conferences.
• Travel locally up to ~60% of time and may include overnight travel.

Conocimientos

Communication

Multitasking

Interpersonal skills

Time management

Organizational skills

MS Office

Educación

RN licensure (state)

Accredited nursing school

CCM/COHN/CRRN/CDMS certifications preferred

Herramientas

Microsoft Office

Descripción del empleo

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the following areas of Georgia: Newnan, Columbus, LaGrange, Fayetteville, Stockbridge, Metro ATL, South of Atlanta.

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.

Essential Functions & Responsibilities

Preferred to have national certification – CCM, COHN, CRRN, CDMS

• 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 their 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 patient’s progress
• Evaluates 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

• Preferred to have national certification – CCM, COHN, CRRN, CDMS
• 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

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: $63,739 – $95,264

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

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL – Medical Case Managers

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. In addition, Medical Case Managers are eligible for bonus and will be provided state‑of‑the‑art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.