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 Tampa, 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 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 cases 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 current and alternate treatment plans with physicians.
• Conducts assessment, planning, implementation, and evaluation of patient progress.
• Evaluates patient treatment plans for appropriateness, medical necessity, and cost-effectiveness.
• Attends doctors' appointments, 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, dependent on the injured worker’s needs.
• May require occasional overnight travel.
• 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; clinical background in orthopedics, neurology, or rehabilitation is preferred.
• Certification as a CCM, CIRS, or other case management certifications is a plus.

Skills

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

Schedule

Monday – Friday, regular business hours.

Pay

Pay Range: $63,739 - $95,264. CorVel uses a market-based approach to pay, considering factors such as location, skills, experience, qualifications, internal equity, and market conditions. 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 FSAs.
• 401K and ROTH 401K retirement plans.
• Paid time off.
• Eligibility for bonus programs.
• State-of-the-art technological devices, including access to 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 NASDAQ since 1991, CorVel invests in human capital and technology to deliver innovative solutions. The company fosters a supportive culture with over 4,000 employees across the United States, embracing core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!).