Remote Telephonic Case Manager II (RN)

Socket.dev; Tampa (FL); On-site; USD 67,000 - 101,000; Full time

Benefits offered by this job

Remote work

Medical, Dental, Vision benefits

401K

Job summary

CorVel is seeking a Telephonic Case Manager for a remote role based in the United States. You will coordinate medical case management, assess patient progress, and evaluate treatment plans for medical necessity and cost-effectiveness, while communicating with physicians, payers, and care teams.

The position requires an RN license and a BSN is preferred, with 3+ years of clinical experience and URAC case management certification to be obtained within 3 years if not already held.

Qualifications

• Bachelor’s degree required, BSN preferred.
• Graduate of accredited school of nursing.
• Current RN Licensure in state of operation.
• 3+ years of recent clinical experience, rehabilitation preferred.
• URAC recognized Case Management certification to be obtained within 3 years if not present at hire.
• Certification as CCM/CIRS preferred.

Responsibilities

• Provide medical case management coordinating with patient, physician, and care team.
• Assess, plan, implement, and evaluate patient progress.
• Evaluate treatment plan for appropriateness, medical necessity, and cost effectiveness.
• Discuss treatment plans with physician and discuss alternatives with payer.
• Coordinate delivery of durable medical equipment and nursing services.
• Prepare organized reports within designated timeframes.

Skills

Independent medical decisions

Multitasking in fast-paced env

Interfacing with claims and physicians

Written and verbal communication

Deadline-driven

MS Office proficiency

Teamwork and collaboration

Education

Bachelor’s degree required

BSN preferred

RN licensure in state of operation

URAC case management cert within 3 years

CCM/CIRS preferred

Tools

MS Office

Excel

Job description

CorVel is seeking a Telephonic Case Manager for a remote role based in the United States. You will coordinate medical case management, assess patient progress, and evaluate treatment plans for medical necessity and cost-effectiveness, while communicating with physicians, payers, and care teams.

The position requires an RN license and a BSN is preferred, with 3+ years of clinical experience and URAC case management certification to be obtained within 3 years if not already held.