Medical Case Manager II

About the Role

CorVel Corporation is hiring a caring, self‑motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Greater Portland, OR area. The role is a work‑from‑home position with on‑the‑road responsibilities, Monday – Friday during regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families, working closely with injured workers to facilitate their recovery. This is a heavy local travel role responsible for a caseload of workers‑compensation injured workers within a defined jurisdiction.

Responsibilities

• Provide in‑person and telephonic medical case management to individuals, involving the patient, physician, other health‑care providers, the employer, and the referral source.
• Utilize medical and nursing knowledge to discuss current treatment plans with physicians and explore alternate treatment plans.
• Assess, plan, implement, and evaluate patient progress.
• Evaluate patient treatment plans for appropriateness, medical necessity, and cost‑effectiveness.
• Attend doctors, other providers, home, and in some cases attorney visits.
• Participate in hospital and/or long‑term facility discharge planning conferences to determine appropriateness of care and develop long‑term care strategies.
• Conduct home visits for initial evaluation.
• Implement care such as negotiating delivery of durable medical equipment and nursing services.
• Travel locally up to approximately 60 % of the work week/month; may require overnight travel.
• Perform 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.

Qualifications

• 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 preferred.

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 such as utilization review or managed care (helpful).
• Strong interpersonal, time‑management, and organizational skills.
• Computer proficiency and technical aptitude, including Microsoft Office and Excel.
• Ability to work both independently and within a team.

Benefits

A comprehensive benefits package is available for full‑time regular employees and includes Medical (HDHP) with Pharmacy, 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 a bonus and receive state‑of‑the‑art technological devices to access CorVel’s proprietary case‑management application.

Schedule

Monday – Friday, regular business hours. Travel may constitute up to 60 % of the work week/month and may include overnight trips.

About CorVel

CorVel, a certified Great Place to Work® Company, is a national provider of risk‑management solutions for workers’ compensation, auto, health and disability management industries. Founded in 1987 and publicly traded on NASDAQ since 1991, CorVel employs over 4,000 people across the United States and embraces core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE‑IT!).