Medical Case Manager II

CorVel; Portsmouth (NH); Hybrid; USD 67,000 - 101,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental and Vision insurance

Long Term Disability

Health Savings Account and Flexible SP

Life Insurance

401K and ROTH 401K

Paid time off

Bonuses

Job summary

CorVel is seeking a Medical Case Manager II in Portsmouth, NH to support injured workers and families in a hybrid role, combining in-person and telephonic case management with local travel.

The position requires RN licensure in the operating state; CCM or CIRS certification is preferred. Travel up to 60% is expected, with some overnight trips.

Qualifications

• RN licensure in state of operation is required.
• CCM or CIRS certification preferred.
• Willingness to travel up to 60% locally.

Responsibilities

• Provide in-person and telephonic Medical Case Management to individuals.
• Discuss treatment plans with physicians using medical and nursing knowledge.
• Assess, plan, implement, and evaluate patients' progress.
• Evaluate treatment plans for medical necessity and cost-effectiveness.
• Attend doctors' visits, home visits, and discharge planning conferences.
• Travel locally up to approximately 60% of the work week/month; overnight travel possible.
• Conduct home visits for initial evaluations.
• Negotiate delivery of durable medical equipment and nursing services.

Skills

Case management

Nursing knowledge

Travel readiness

Education

Graduate of accredited school of nursing

Tools

CCM certification

CIRS certification

Job description

About This Role

CorVel is seeking a caring and self-motivated Medical Case Manager II to support injured workers and their families. This hybrid role involves both in-person and telephonic case management, requiring local travel to facilitate recovery.

Highlights

• Pay: $66,941 - $101,258/year
• Location: Portsmouth, NH
• 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 patients' 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.
• May require overnight travel.
• 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 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 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, CorVel is committed to delivering innovative and integrated solutions while fostering a supportive culture and career advancement opportunities for its employees.