Telephonic Case Manager

5 days ago


Mechanicsburg, Pennsylvania, United States CorVel Healthcare Corporation Full time
Job Summary

CorVel 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 individuals with medical needs. This position requires strong clinical knowledge, excellent communication skills, and the ability to work independently in a fast-paced environment.

Key Responsibilities
  • Case Management: Provide medical case management to individuals through coordination with patients, physicians, healthcare providers, employers, and referral sources.
  • Treatment Plan Evaluation: Evaluate patient treatment plans for appropriateness, medical necessity, and cost-effectiveness.
  • Communication: Discuss medical conditions and treatment plans with patients, family members, and adjusters, while supporting the goals of the Case Management department and CorVel.
  • Care Coordination: Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services.
  • Decision Making: Make independent medical decisions and recommendations to all parties involved.
Requirements
  • Education: Graduate of an accredited school of nursing.
  • License: RN license required in the state of Pennsylvania.
  • Experience: 3 or more years of recent clinical experience, preferably in rehabilitation.
  • Certifications: One of the following certifications: CCM, CRRN, CDMS, or COHN.
Benefits

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.

CorVel is an Equal Opportunity Employer and complies with ADA regulations as applicable.



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