CA Medical Case Manager II

About the Role

CorVel Corporation is seeking a caring, self‑motivated, energetic and independent registered nurse for a Medical Case Manager position in California. The role is a hybrid work‑from‑home and on‑the‑road position, focused on making a meaningful difference in the lives of injured workers and their families. You will collaborate closely with patients, families, medical providers, and internal team members while managing a caseload of workers‑compensation injured workers within a defined jurisdiction.

Responsibilities

• Provide in‑person and telephonic medical case management to individuals, coordinating with patients, physicians, other health‑care providers, employers, and referral sources.
• Utilize medical and nursing knowledge to discuss current treatment plans with physicians and explore alternate options.
• Assess, plan, implement, and evaluate each patient’s progress.
• Evaluate treatment plans for appropriateness, medical necessity, and cost‑effectiveness.
• Attend doctors’ appointments, other provider visits, home visits, and, when needed, attorney meetings.
• Participate in hospital or long‑term‑facility discharge planning conferences to determine appropriate care and develop long‑term strategies.
• Conduct initial home evaluations.
• Negotiate delivery of durable medical equipment and nursing services.
• Travel locally up to approximately 60 % of the work week/month; overnight travel may be required.
• Comply with all safety rules and regulations in conjunction with the Injury and Illness Prevention Program (IIPP).
• Perform additional duties as required.

Requirements

• Graduate of an accredited school of nursing.
• Current RN licensure in the state of operation.
• Experience as an RN Medical Case Manager is ideal; clinical background in orthopedics, neurology, or rehabilitation is preferred.
• Certification such as CCM, CIRS, or other case‑management credentials preferred.
• Valid driver’s license, reliable transportation, and ability to travel to assigned locations.

Skills

• Effective communication and multitasking in a high‑volume, fast‑paced, team‑oriented environment.
• Ability to meet with patients, physicians, other health‑care providers, attorneys, advisors/clients, and coworkers.
• Cost‑containment background (e.g., utilization review or managed care) is helpful.
• Strong interpersonal, time‑management, and organizational abilities.
• Computer proficiency with Microsoft Office, including Excel spreadsheets.
• Capability to work both independently and collaboratively within a team.

Benefits

• Comprehensive benefits package for full‑time regular employees, including Medical (HDHP) with pharmacy, Dental, and Vision coverage.
• Long‑Term Disability, Health Savings Account, and Flexible Spending Account options.
• Life Insurance, Accident Insurance, Critical Illness Insurance, and pre‑paid Legal Insurance.
• Parking and Transit FSA accounts.
• 401(k) and Roth 401(k) retirement plans.
• Paid time off.
• Eligibility for performance‑based bonus.
• State‑of‑the‑art technological devices to access CorVel’s proprietary case‑management application.
• Additional benefit details available on the CorVel Careers website.

Pay

Pay Range: $32.18 – $48.68 per hour. Compensation is market‑based and may vary by location, experience, qualifications, and internal equity.

Schedule

Monday – Friday, regular business hours. The role requires local travel up to approximately 60 % of the work week/month and may include overnight travel.