Telephonic Case Manager

1 week ago


Liverpool, New York, 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 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 healthcare providers, the employer, and the referral source.
  • Assess, plan, implement, and evaluate patient progress.
  • Evaluate patient treatment plans for appropriateness, medical necessity, and cost-effectiveness.
  • Discuss current treatment plans with physicians and recommend alternate treatment plans.
  • Make medical recommendations to payers.
  • Negotiate and coordinate the delivery of durable medical equipment and nursing services.
  • Make independent medical decisions and recommendations to all parties.
  • Develop cost-effective strategies for medical care.
Requirements
  • Graduate of an accredited school of nursing.
  • RN license required.
  • Additional RN licenses beneficial, but not required.
  • Case management experience in worker's compensation.
  • Must have one of the following certifications: CCM, CRRN, CDMS, or COHN.
  • 3 or more years' of recent clinical experience, preferably in rehabilitation.
  • Strong clinical background in orthopedics, neurology, or rehabilitation preferred.
  • Strong cost containment background, such as utilization review or managed care helpful.
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. 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.

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



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