Telephonic Case Manager I

CorVel; West Virginia; Remote; USD 64,000 - 95,000; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

Dental and 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 and ROTH 401K

Paid time off

Job summary

CorVel is seeking a Telephonic Case Manager to coordinate resources and develop cost-effective, personalized care plans for ill or injured individuals. This remote role supports quality treatment and timely return-to-work processes from WV.

The position offers a full-time schedule with a salary range of $63,739–$95,264 per year. Responsibilities include medical case management through coordination with patients, physicians, and other healthcare providers, efficient assessment and planning, and

Qualifications

• Bachelor's degree required; BSN preferred.
• Graduate of accredited school of nursing.

Responsibilities

• Provide medical case management through coordination with patients, physicians, and other healthcare providers.
• Assess, plan, implement, and evaluate patient's progress.
• Evaluate patient's treatment plan for appropriateness, medical necessity, and cost-effectiveness.
• Discuss current and alternative treatment plans with physicians.
• Make medical recommendations of available treatment plans to payers.
• Negotiate and coordinate the delivery of durable medical equipment and nursing services.
• Devise cost-effective strategies for medical care.
• Prepare organized reports within a specified timeframe.
• Meet a minimum productivity standard of 95% per month.

Education

Bachelor's degree

BSN preferred

Job description

About This Role

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. This remote role is ideal for experienced professionals looking to support quality treatment and facilitate timely returns to work.

Highlights

• Pay: $63,739 - $95,264/year
• Location: Remote, WV
• Department/Unit: Case Management
• Schedule: Full-time

What You'll Do

• Provide medical case management through coordination with patients, physicians, and other healthcare providers.
• Assess, plan, implement, and evaluate patient's progress.
• Evaluate patient's treatment plan for appropriateness, medical necessity, and cost-effectiveness.
• Discuss current and alternative treatment plans with physicians.
• Make medical recommendations of available treatment plans to payers.
• Negotiate and coordinate the delivery of durable medical equipment and nursing services.
• Devise cost-effective strategies for medical care.
• Prepare organized reports within a specified timeframe.
• Meet a minimum productivity standard of 95% per month.
• Perform additional duties as assigned.

Requirements

Education

• Bachelor's degree required, BSN preferred
• Graduate of accredited school of nursing

Experience

• 3 or more years of recent clinical experience, preferably in rehabilitation

Licenses & Certifications

• Current RN Licensure in state of operation
• URAC recognized Case Management certification required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire
• Certification as a CIRS or CCM preferred

Benefits

• Medical (HDHP) w/Pharmacy
• Dental and 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 and ROTH 401K
• Paid time off

About CorVel

CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. Founded in 1987, CorVel has …