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RN Telephonic Case Manager

2 months ago

Englewood, Colorado, United States CorVel Healthcare Corporation Full time
Job Summary

CorVel Healthcare Corporation is seeking a skilled RN Telephonic Case Manager to join our team. As a RN Telephonic Case Manager, you will be responsible for 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 timely return-to-work if appropriate.

Key Responsibilities
  • Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source
  • Assess, plan, implement, and evaluate patient's progress
  • Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
  • Discuss current treatment plan with physician and discuss alternate treatment plans
  • Make medical recommendations of available treatment plans to the payer
  • Negotiate and coordinate the delivery of durable medical equipment and nursing services
  • Make independent medical decisions and recommendations to all parties
  • Devise cost-effective strategies for medical care
Requirements
  • Bachelor's degree required, BSN desirable
  • Graduate of accredited school of nursing
  • Current RN Licensure in state of operation
  • 3 or more 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 to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire
What We Offer

CorVel Healthcare Corporation offers a comprehensive benefits package, including Medical (HDHP) w/Pharmacy, 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, 401K, ROTH 401K, and paid time off.

CorVel Healthcare Corporation is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.