Remote RN Case Manager - Telephonic Care Coordination

CorVel Corporation; Oklahoma City (OK); Remote; USD 60,000 - 90,000; Full time

Job summary

CorVel Corporation is seeking a Telephonic Case Manager to coordinate medical care for injured individuals. This remote role emphasizes clinical assessment, cost-effective care plans, and communication with physicians, patients, and payers.

A current RN license and 3+ years of clinical experience are required, with URAC/ CCM certifications preferred. The position focuses on evaluating treatment plans, coordinating equipment and nursing services, and delivering timely reports while maintaining

Qualifications

• Graduate of accredited school of nursing.
• Current RN licensure in state of operation.
• 3+ years of clinical experience, preferably in rehabilitation.
• URAC recognized Case Management certification required within 3 years if none present.
• Strong cost containment background is helpful.

Responsibilities

• Coordinate medical case management 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 or alternate plans with physician using clinical knowledge.
• 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 specified timeframes.
• Meet minimum productivity standards.

Skills

Communication skills

Independent decision making

Multitasking

Interpersonal skills

Time management

Teamwork

MS Office proficiency

Clinical knowledge

Education

RN licensure

Nursing degree

URAC Case Management certification

CIRS/CCM certification

Tools

MS Office

Excel

Job description

CorVel Corporation is seeking a Telephonic Case Manager to coordinate medical care for injured individuals. This remote role emphasizes clinical assessment, cost-effective care plans, and communication with physicians, patients, and payers.

A current RN license and 3+ years of clinical experience are required, with URAC/ CCM certifications preferred. The position focuses on evaluating treatment plans, coordinating equipment and nursing services, and delivering timely reports while maintaining