Healthcare Navigator for Workers Compensation
1 week ago
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.
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