Remote RN Case Manager - Telephonic Care Coordination

CorVel Corporation; Tampa (FL); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life Insurance

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 uses clinical expertise to assess treatment plans and communicate with treating physicians, patients, family members, and adjusters, supporting quality care and timely return-to-work.

This remote position emphasizes collaboration, cost containment, and thorough reporting, with a strong focus on managing durable medical

Qualifications

• Graduate of accredited school of nursing
• Current RN Licensure in state of operation
• 3 or more 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 to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire
• Strong clinical background in orthopedics, neurology, or rehabilitation preferred
• Strong cost containment background, such as utilization review or managed care helpful
• Certification as a CIRS or CCM preferred

Responsibilities

• Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source
• Provide assessment, planning, implementation, and evaluation of patient's progress
• Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
• Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician
• Make medical recommendations of available treatment plans to the payer
• Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services
• Devise cost-effective strategies for medical care
• Required to prepare organized reports within a specified timeframe
• Minimum Productivity Standard is 95% per month
• Additional duties asassigned

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 uses clinical expertise to assess treatment plans and communicate with treating physicians, patients, family members, and adjusters, supporting quality care and timely return-to-work.

This remote position emphasizes collaboration, cost containment, and thorough reporting, with a strong focus on managing durable medical