Medical Case Manager II

CorVel; Portland (OR); Hybrid; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

401K

Paid time off

Job summary

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Greater Portland, OR area. This role involves work from home and on the road with Monday through Friday, regular business hours.

You will provide in-person and telephonic medical case management, collaborating with patients, families, providers, and employers. A focus on supporting recovery and coordinating care for workers' compensation cases is

Qualifications

• Current RN licensure in state of operation.
• CCM or CIRS certification preferred.
• Willingness to travel locally up to 60%.
• Experience in workers' compensation case management preferred.

Responsibilities

• Provides in-person and telephonic Medical Case Management to patients, families, providers, and employers.
• Collaborates with physicians and other health care professionals to discuss treatment plans and alternatives.
• Evaluates treatment plans for medical necessity and cost effectiveness.
• Attends discharge planning conferences and coordinates home visits as needed.
• Maintains accurate progress notes and documents case activities in the system.

Skills

Communication

Time management

Travel readiness

RN licensure

CCM/CIRS cert

Microsoft Office

Education

Nursing degree

Tools

Microsoft Office

Job description

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Greater Portland, OR 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.

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 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 patients progress
• Evaluates patients treatment plan for appropriateness, medical necessity, and cost effectiveness
• Attends doctors, other providers, home and in some cases, attorneys 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 workers 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 drivers license, reliable transportation, and ability to travel to assigned locations is required

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 CorVels 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.