Telephonic Case Manager II

4 weeks ago


Rancho Cucamonga, California, United States CorVel Healthcare Corporation Full time
Job Overview

CorVel Healthcare Corporation is seeking a skilled Telephonic Case Manager II to join our team. As a Telephonic Case Manager II, you will play a critical role in coordinating resources and creating flexible, cost-effective options for individuals with medical needs.

Key Responsibilities:

  • Provide medical case management to individuals through coordination with patients, physicians, healthcare providers, employers, and referral sources.
  • Assess, plan, implement, and evaluate patient progress to ensure timely return-to-work and optimal medical outcomes.
  • Evaluate treatment plans for medical necessity, cost-effectiveness, and appropriateness.
  • Collaborate with physicians and healthcare providers to discuss and recommend alternative treatment plans.
  • Communicate effectively with patients, family members, and adjusters to support case management goals.

Requirements:

  • Bachelor's degree in a related field, with a strong clinical background in orthopedics, neurology, or rehabilitation.
  • Current RN licensure in the state of operation and 3+ years of recent clinical experience, preferably in rehabilitation.
  • URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required within 3 years of hire.
  • Strong cost containment background, such as utilization review or managed care, is highly desirable.

What We Offer:

  • A comprehensive benefits package, including medical, dental, vision, and 401(k) retirement plan.
  • A stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.
  • A competitive salary range of $30.72 - $46.47 per hour, based on experience and qualifications.

About CorVel Healthcare Corporation:

CorVel Healthcare Corporation is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. We are a certified Great Place to Work Company, with a strong commitment to accountability, commitment, excellence, integrity, and teamwork (ACE-IT). Join our team and be part of a dynamic organization that values innovation, collaboration, and employee growth.


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