Remote RN Case Manager: Telephonic Care Coordination

CorVel Corporation; Lawrenceville (GA); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

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

Paid time off

Job summary

CorVel Corporation is seeking a Telephonic Case Manager to coordinate resources and develop cost‑effective, personalized care plans for ill or injured individuals. The role emphasizes clinical assessment, communication with treating physicians, and cost containment to support timely return to work.

This is a remote opportunity encouraging nurses in all states to apply. Ideal candidates hold RN licensure, 3+ years clinical experience (rehabilitation preferred), and are willing to pursue CCM/URAC

Qualifications

• Nurse with current RN licensure in the state of operation.
• 3+ years of recent clinical experience, preferably in rehabilitation.
• URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required within 3 years if not present at hire.
• Strong clinical background in orthopedics, neurology, or rehabilitation preferred.

Responsibilities

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

Skills

Independent medical decisions

Multi-tasking

Interfacing with claims/physicians

Written and verbal communication

Meet deadlines

MS Office (Excel)

Teamwork and independence

Education

RN licensure

Graduate of accredited school of nursing

3+ years clinical experience

URAC certification (ACM/ CCM/ CDMS/ ...) within 3 years

CIRS/ CCM certification (preferred)

Tools

MS Office

Job description

CorVel Corporation is seeking a Telephonic Case Manager to coordinate resources and develop cost‑effective, personalized care plans for ill or injured individuals. The role emphasizes clinical assessment, communication with treating physicians, and cost containment to support timely return to work.

This is a remote opportunity encouraging nurses in all states to apply. Ideal candidates hold RN licensure, 3+ years clinical experience (rehabilitation preferred), and are willing to pursue CCM/URAC