Telephonic Case Manager II
1 day ago
We are seeking a skilled Telephonic Case Manager II to join our team at CorVel Healthcare Corporation. As a Telephonic Case Manager II, 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.
- 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.
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.
We are an Equal Opportunity Employer, drug-free workplace, and comply with ADA regulations as applicable.
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