Remote RN Case Manager – Telephonic Care Coordination

CorVel Corporation; Franklin (TN); Remote; USD 64,000 - 95,000; Full time

Job summary

CorVel Corporation seeks a Telephonic Case Manager to coordinate resources and develop cost-efficient, personalized care plans for ill or injured individuals. This remote role emphasizes clinical assessment and collaboration with physicians to optimize treatment and support return-to-work goals.

You will evaluate treatment plans, communicate with patients, families, adjusters, and providers, and prepare organized reports while maintaining a 95% productivity standard.

Qualifications

• Bachelor’s degree required; RN licensure in state of operation.
• 3+ years clinical experience, preferably in rehabilitation.
• URAC certification within 3 years of hire if no nationally recognized certification present.
• Strong cost containment background; utilization review or managed care helpful.
• Certification as a CIRS or CCM preferred.

Responsibilities

• Provide medical case management coordinating with patient, physician, other providers, employer and referral source.
• Assess, plan, implement, and evaluate patient progress.
• Evaluate treatment plan for appropriateness, medical necessity, and cost effectiveness.
• Discuss current or alternate treatment plans with physician.
• Make medical recommendations to payer.
• Coordinate delivery of durable medical equipment and nursing services.
• Develop cost-effective strategies for medical care.
• Prepare organized reports within designated timeframe.
• Maintain minimum productivity standard 95% per month.
• Handle additional duties as assigned.

Skills

Independent medical decisions

Effective communication

MS Office proficiency

Time management

Team collaboration

Interpersonal skills

Education

Bachelor’s degree

RN licensure in state of operation

BSN preferred

URAC Case Management certification within 3 years

Accredited nursing program graduation

Tools

MS Office

Excel

Job description

CorVel Corporation seeks a Telephonic Case Manager to coordinate resources and develop cost-efficient, personalized care plans for ill or injured individuals. This remote role emphasizes clinical assessment and collaboration with physicians to optimize treatment and support return-to-work goals.

You will evaluate treatment plans, communicate with patients, families, adjusters, and providers, and prepare organized reports while maintaining a 95% productivity standard.