Healthcare Navigator for Workers Compensation

1 week ago


Louisville, Kentucky, United States CorVel Full time

Job Summary

">

The Care Advocate Nurse plays a crucial role in overseeing initiatives surrounding assessing the severity of workers' reported injuries, reviewing medical data in CareMC, validating and securing medical information, and evaluating prescribed treatment of work-related injuries.

">

This position functions as a nurse consultant, supporting the goals of the Claim Management department and of CorVel. The ideal candidate will possess strong interpersonal skills, attention to detail, and excellent communication skills.

">

Responsibilities

">
  • ">
  • Initiates and receives telephonic contact with reported injured workers, employers, and medical providers to obtain treatment plans, secures medical documentation, and assesses if injured workers have returned to work.">
  • Responsible for detailed documentation within the claim system focusing on medical conditions, treatment plans, and return-to-work status.">
  • DIRECTS CALLERS TO APPROPRIATE MEDICAL AND/OR CLAIM RESOURCES">
  • Identifies and communicates urgent situations related to treatment or patient condition directly to the claim team.">
  • Functions as a nurse consultant to the claim team.">
  • Assesses appropriate medical follow-up and makes necessary recommendations to the claim team, working closely with the team to assist in identifying potential red flags from the injury that may require further follow-up or additional services.">
  • Adheres to the Care Advocate Nurse production standards and Account special handling guidelines.">
  • Additional projects and duties as assigned.">
">

Requirements

">
  • ">
  • Fundamental concepts, practices, and procedures of early intervention in the field of Workers' Compensation (WC).">
  • Ability to write and speak clearly, easily communicating complex ideas.">
  • Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet production standards deadlines and maintaining strong customer service orientation.">
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Outlook, Word, Excel spreadsheets.">
  • Strong interpersonal, time management, and written communication skills.">
  • Great attention to detail, and results-focused.">
  • Ability to work independently and as part of a team.">
">

Education/Experience

">
  • ">
  • Minimum of 2 years clinical nursing experience.">
  • Graduate of an approved accredited school of nursing.">
  • Current unencumbered RN licensure in the state of residency and practicing state(s) must be maintained throughout employment with CorVel.">
">

Salary Range

">

The estimated salary for this position is $58,282 - $93,870 based on location and level of experience.

">

About CorVel

">

CorVel is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries.

">

We offer a comprehensive benefits package for full-time regular employees, including 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, and paid time off.

">

CorVel is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations as applicable.



  • Louisville, Kentucky, United States Gallagher Bassett Full time

    About the RoleAs a Senior Workers Compensation Claims Adjuster at Gallagher Bassett, you will play a critical role in guiding claimants to the best possible outcomes for their health and wellbeing. Your expertise in claims management will enable you to analyze claims exposure, plan the proper course of action, and resolve claims effectively.Key...


  • Louisville, Kentucky, United States Norton Medical Group Full time

    Compelling Career Opportunities in General NeurologyNorton Medical Group is seeking board-certified or board-eligible general neurologists to join its comprehensive program in Louisville, Kentucky.About the PositionNo inpatient call responsibilitiesDedicated support staff with advanced practice providersParticipate in clinical trials and publications on...


  • Louisville, Kentucky, United States Norton Healthcare Full time

    Job Title: Physician Compensation Manager - Healthcare Finance Expert


  • Louisville, Kentucky, United States Humana Full time

    Job SummaryHumana is seeking a skilled Utilization Management Nurse 2 to join our team in Kentucky. As a Utilization Management Nurse 2, you will play a vital role in supporting the coordination, documentation, and communication of medical services and benefit administration determinations for our Medicaid Plan.About the RoleThis position requires strong...


  • Louisville, Kentucky, United States Gallagher Full time

    About Us Gallagher is a leading insurance brokerage, providing innovative solutions to our clients. We're committed to delivering exceptional results and exceeding expectations. Job Overview We have an exciting opportunity for a Claims Resolution Specialist to join our experienced team in Kentucky. This role will involve investigating, evaluating, and...


  • Louisville, Kentucky, United States Norton Medical Group Full time

    Norton Medical Group, a leading healthcare provider in the region, is recruiting primary care physicians to join its team of over 350 medical providers.Our Norton Community Medical Associates adult primary care practices offer you an opportunity to practice primary care in a setting that fits your career goals while being connected to the areas leading...


  • Louisville, Kentucky, United States Norton Healthcare Full time

    About the RoleWe are seeking a skilled Compensation Analyst to join our team at Norton Healthcare.Job DescriptionThe Manager - Provider Contracts will work closely with the Director Provider Contracts to ensure provider employment agreement terms and physician compensation is accurate, timely, and in compliance with contracted expectations. Key...


  • Louisville, Kentucky, United States Norton Healthcare Full time

    The role of Physician Compensation Specialist at Norton Healthcare involves a wide range of responsibilities focused on ensuring compliance with regulations and optimal provider compensation strategies.As a key member of the Provider Contracts team, you will work closely with the Director to guarantee accurate, timely, and compliant employment agreement...


  • Louisville, Kentucky, United States Norton Healthcare Full time

    Overview">Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. As a healthcare provider, we are committed to delivering exceptional patient care and fostering a culture of excellence.">Salary Range">The estimated salary for this position is $85,000...


  • Louisville, Kentucky, United States AMN Healthcare Full time

    Job OverviewWe are seeking a compassionate and skilled LMSW or LCSW Social Worker to join our team at AMN Healthcare. This 13-week assignment offers an excellent opportunity to gain valuable experience in social work while working with a dynamic team of professionals.Key Responsibilities:- Provide high-quality social work services to patients and families-...


  • Louisville, Kentucky, United States Host Healthcare Full time

    Host Healthcare is a leading provider of travel healthcare services, currently seeking a skilled Registered Nurse (RN) to fill a 13-week assignment in Louisville, Kentucky.Job OverviewThis opportunity offers a chance to work in a progressive care unit setting, providing exceptional patient care and contributing to the success of our esteemed client.Salary...


  • Louisville, Kentucky, United States Host Healthcare Full time

    Join Host Healthcare as a Registered Nurse - Oncology in Louisville, KYAbout UsWe are an award-winning travel healthcare company with a commitment to providing unparalleled service and support to our travelers. Our team is passionate about helping you navigate every step of the process, from application to assignment.Compensation and BenefitsYou will be...


  • Louisville, Kentucky, United States SkyBridge Healthcare Full time

    Type: Emergency Room Louisville, KY SkyBridge Healthcare OpportunitySkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities in the field of Emergency Room nursing. Our commitment to excellence and our consultative approach has helped us become a leader in the healthcare staffing industry.Salary...


  • Louisville, Kentucky, United States Norton Healthcare Full time

    The Senior Compensation Data Analyst position at Norton Healthcare focuses on providing strategic analysis and expertise in executive-level compensation.Key ResponsibilitiesFoster a deep understanding of market trends to inform compensation strategies for leadership positionsMaintain and implement competitive compensation plans to attract and retain top...

  • Contract Manager

    1 week ago


    Louisville, Kentucky, United States Norton Healthcare Full time

    Job OverviewNorton Healthcare seeks a skilled Contract Manager - Physician Compensation Specialist to join our team. As a key member of the provider contracts department, you will be responsible for ensuring accurate and timely physician compensation and employment agreement terms.This is a regular full-time position with a competitive salary range of...


  • Louisville, Kentucky, United States Norton Medical Group Full time

    Norton Medical Group, a leading healthcare provider in Louisville, Kentucky, is seeking experienced Geriatric Physicians to join its growing practice. This is an exceptional opportunity for medical professionals to make a meaningful impact in the lives of patients and their families.About the OpportunityWe are committed to providing high-quality patient care...


  • Louisville, Kentucky, United States Norton Medical Group Full time

    Norton Medical Group, a leading healthcare provider in Louisville, Kentucky, is seeking a dedicated Geriatric Physician to join its thriving metropolitan practice. This exciting opportunity allows you to make a meaningful difference in the lives of older adults and their families.About the PositionThe ideal candidate will be responsible for providing...


  • Louisville, Kentucky, United States Host Healthcare Full time

    Exciting Travel Nursing Opportunity in Louisville, KYHost Healthcare is a leading travel healthcare company with an immediate opening for a Registered Nurse - PCU in Louisville, KY.About Host HealthcareWe are passionate about providing unparalleled service to our travelers. Our team members are dedicated to helping you navigate each step of the process, from...


  • Louisville, Kentucky, United States Norton Medical Group Full time

    Norton Medical Group, a leading healthcare provider in the region, is seeking a board-certified general cardiologist to join its growing team of providers. The ideal candidate will have a medical degree/diploma and residency/fellowship certification, as well as a Kentucky medical license or be license eligible.About the PositionThis opportunity offers a...


  • Louisville, Kentucky, United States PRN Healthcare Full time

    About the Opportunity:We are seeking a highly skilled Travel RN to join our team in Louisville, Kentucky. As a Progressive Care Unit (PCU) nurse, you will have the opportunity to work with a variety of patients and develop your critical thinking skills.The ideal candidate will have excellent communication and teamwork skills, as well as the ability to work...