Medical Case Manager II

CorVel; Florham Park (NJ); Hybrid; USD 67,000 - 101,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental and Vision insurance

Long Term Disability

HSA/FSAs

Life Insurance

401K and Roth 401K

Paid time off

Bonuses and tech devices for case mgmt

Job summary

CorVel is seeking a caring and self-motivated Medical Case Manager II to support injured workers in Northern New Jersey. This role combines remote work with local travel, making a meaningful difference in patients' lives and their families.

The position is based in Florham Park, NJ, with full-time hours and a Monday–Friday schedule. A nursing degree and NJ RN license are required, with CCM/CIRS certifications preferred to advance within Case Management.

Qualifications

• RN license in New Jersey required.
• Experience as an RN Medical Case Manager preferred.
• Certifications in CCM or CIRS preferred.

Responsibilities

• Provide in-person and telephonic Medical Case Management to injured workers.
• Discuss treatment plans with physicians using medical knowledge.
• Assess, plan, implement, and evaluate patient progress.
• Evaluate treatment plans for medical necessity and cost effectiveness.
• Attend doctors' visits, home visits, and discharge planning conferences.
• Travel locally up to ~60% of the week.
• Other duties as required.

Skills

RN case management experience

Clinical background in orthopedics/neu

Telephonic and in-person case mgmt

Education

New Jersey RN Licensure

CCM/CIRS certification preferred

Job description

About This Role

CorVel is seeking a caring and self-motivated Medical Case Manager II to support injured workers in Northern New Jersey. This role involves both remote work and local travel, making a meaningful difference in the lives of patients and their families.

Highlights

• Pay: $66,941 - $101,258/year
• Location: Florham Park, NJ
• 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 treatment plans for appropriateness, medical necessity, and cost effectiveness.
• 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 New Jersey
• 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, and 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 while fostering a supportive culture and career advancement opportunities for its employees.