Medical Case Manager II

1 day ago


Reston, Virginia, United States CorVel Corporation Full time
About the Role

CorVel Corporation is seeking a skilled and compassionate Registered Nurse to fill a Medical Case Manager position in our Southern MD Area office. As a Medical Case Manager, you will play a vital role in facilitating the recovery of injured workers and their families.

Key Responsibilities
  • Provide medical case management services to individuals through in-person and telephonic communications with patients, physicians, healthcare providers, employers, and other stakeholders.
  • Utilize your medical and nursing expertise to discuss treatment plans with physicians and explore alternative treatment options.
  • Evaluate patient treatment plans for appropriateness, medical necessity, and cost-effectiveness.
  • Assess, plan, implement, and evaluate patient progress.
  • Attend medical appointments, hospital visits, and other healthcare-related events to ensure effective care coordination.
  • Implement care strategies, including negotiating the delivery of durable medical equipment and nursing services.
  • Travel locally (up to 60% of the workweek/month) and occasionally overnight to meet with patients and healthcare providers.
Requirements
  • Graduate of an accredited school of nursing.
  • Current RN licensure in the state of operation.
  • Certification as a CCM, CIRS, or other case management certifications is preferred.
  • A valid driver's license, reliable transportation, and ability to travel to assigned locations is required.
Preferred Qualifications
  • Experience as a RN, Medical Case Manager, or in a clinical background in orthopedics, neurology, or rehabilitation.
  • Strong communication and interpersonal skills in a high-volume, fast-paced environment.
  • Ability to work independently and within a team environment.
  • Computer proficiency and technical aptitude with MS Office, including Excel spreadsheets.
About CorVel Corporation

CorVel Corporation is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT) guide our actions and decisions.

Benefits
  • Comprehensive benefits package for full-time regular employees, including medical, 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, 401(k), ROTH 401(k), and paid time off.
  • Eligibility for bonus and state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application.

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