Telehealth Case Manager

3 days ago


La Chaussade, Nouvelle-Aquitaine, United States CorVel Healthcare Corporation Full time
Job Summary

We are seeking a highly skilled Telehealth Case Manager to join our team at CorVel Healthcare Corporation. As a Telehealth Case Manager, you will play a critical role in addressing client, patient, and provider inquiries via email, fax, telephonic, or written correspondence, ensuring adherence to contractual and state guidelines as well as client instructions.

Key Responsibilities
  • Attend designated meetings to build rapport with internal and external customers.
  • Ongoing reviews to include medical notes, treatment referrals, work status notes, etc., to verify all necessary referral orders and treatment rendered in a timely manner.
  • Data entry of details in our system for internal and external teams to understand updates or the status of orders and requests.
  • Provide quality telephonic and email communication that includes daily inbound and outbound messages.
  • Research of all daily escalated call concerns received from providers related to delays in treatment.
  • Monitor status of specialist referrals and/or extended treatment cases; make recommendations for action plans to improve management as needed.
  • Provide immediate feedback to providers on specialist treatment status and extended treatment cases upon request.
  • Coordinate with inter-disciplinary teams to assist with coordination, scheduling, management of specialist referrals and/or extended treatment cases.
  • Attend ongoing internal training and learning to ensure updated knowledge of industry and product changes.
  • Requires regular and consistent attendance.
  • Special reporting on a monthly basis and as needed.
  • Assist manager with additional duties as assigned.
Requirements
  • Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
  • Excellent written and verbal communication skills.
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Outlook and Excel.
  • Strong attention to detail with a high commitment to accuracy.
Preferred Qualifications
  • Registered Nurse for minimum of 3 years.
  • Case Management experience.
  • Experience in medical data processing and entry, preferred.
  • Spanish, bilingual preferred.
What We Offer

CorVel offers a comprehensive benefits package, 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.

We are an equal opportunity employer and comply with ADA regulations as applicable.



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