Medical Case Manager I

CorVel Corporation is seeking a caring, self-motivated, energetic, and independent registered nurse for a Medical Case Manager role in the Sunrise, FL area. This position offers a hybrid work environment with work-from-home flexibility and local travel.

About the Role

As a Medical Case Manager, you will make a meaningful difference in the lives of injured workers and their families. You will collaborate closely with patients, their families, medical providers, and team members to facilitate recovery. This role involves heavy local travel and managing a caseload of workers' compensation injured workers within a defined jurisdiction.

Responsibilities

• Provides in-person and telephonic medical case management to individuals, involving the patient, physician, other healthcare providers, the employer, and the referral source.
• Utilizes medical and nursing knowledge to discuss the current treatment plan with the physician and explore alternate treatment plans.
• Performs assessment, planning, implementation, and evaluation of the patient’s progress.
• Evaluates the patient’s treatment plan for appropriateness, medical necessity, and cost-effectiveness.
• Attends doctors' appointments, provider visits, home visits, and, in some cases, attorney meetings.
• Participates in hospital and/or long-term facility discharge planning conferences to determine care appropriateness and develop long-term care strategies.
• Conducts home visits for initial evaluations.
• Implements care, such as negotiating the delivery of durable medical equipment and nursing services.
• Requires regular local travel, up to approximately 60% of the workweek/month, depending on the injured worker’s needs. Occasional overnight travel may be required.
• Performs additional duties as required.

Requirements

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

Skills

• Effective communication and multitasking skills in a high-volume, fast-paced, team-oriented environment.
• Ability to engage with patients, physicians, healthcare providers, attorneys, advisors/clients, and coworkers.
• A cost-containment background, such as utilization review or managed care, is helpful.
• Strong interpersonal, time management, and organizational skills.
• Computer proficiency and technical aptitude, including the ability to use Microsoft Office and Excel spreadsheets.
• Ability to work both independently and within a team environment.

Schedule

Monday – Friday, regular business hours.

Pay

CorVel uses a market-based approach to pay, with salary ranges varying by location and factors such as skills, experience, qualifications, and internal equity. The pay range for this role is $63,739 – $95,264. For leveled roles, new hires may be placed into a different level based on experience and qualifications, which may impact the salary range.

Benefits

• Medical (HDHP) with Pharmacy coverage.
• Dental and Vision insurance.
• Long-Term Disability and Life Insurance.
• Accident, Critical Illness, and Pre-paid Legal Insurance.
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options, including Parking and Transit FSA accounts.
• 401K and ROTH 401K retirement plans.
• Paid time off.
• Bonus eligibility for Medical Case Managers.
• State-of-the-art technological devices to access CorVel’s proprietary Case Management application.

About CorVel

CorVel is a national provider of industry-leading risk management solutions for workers’ compensation, auto, health, and disability management industries. Founded in 1987 and publicly traded on the NASDAQ since 1991, CorVel is recognized as a Great Place to Work®. The company invests in human capital and technology to deliver innovative and integrated solutions. With over 4,000 employees across the United States, CorVel embraces core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!).