Telephonic Case Manager
4 weeks ago
The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for individuals on a case-by-case basis to facilitate quality individualized treatment goals. This role requires strong clinical knowledge to evaluate treatment plans for medical appropriateness and discuss medical conditions with treating physicians and patients.
Key Responsibilities- Provides medical case management to individuals through coordination with patients, physicians, and healthcare providers.
- Assesses, plans, implements, and evaluates patient progress to ensure effective treatment outcomes.
- Evaluates treatment plans for medical necessity, cost-effectiveness, and appropriateness.
- Discusses medical conditions and treatment plans with patients, families, and adjusters to support treatment goals.
- Coordinates care, including negotiating and delivering durable medical equipment and nursing services.
- Makes independent medical decisions and recommendations to all parties involved.
- Develops cost-effective strategies for medical care and ensures compliance with safety regulations.
- Graduate of an accredited school of nursing with a current RN license in Pennsylvania.
- Minimum 3 years of recent clinical experience, preferably in rehabilitation, with a strong clinical background in orthopedics, neurology, or rehabilitation.
- Case management experience in worker's compensation and certifications such as CCM, CRRN, CDMS, or COHN are beneficial.
- Strong communication, interpersonal, and time management skills, with the ability to work independently and within a team environment.
CorVel offers a comprehensive benefits package, including medical, dental, vision, and life insurance, as well as a 401(k) plan and paid time off. Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application.
About CorVelCorVel 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.
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Telephonic Case Manager
2 days ago
Mechanicsburg, Pennsylvania, United States CorVel Healthcare Corporation Full timeJob SummaryCorVel Healthcare Corporation is seeking a skilled Telephonic Case Manager to join our team. As a Telephonic Case Manager, you will play a critical role in coordinating resources and creating flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including...
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Telephonic Case Manager
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