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Medical Case Management Manager

Company: CorVel Corporation
Location: Asheville
Posted on: May 15, 2024

Job Description:

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Asheville, NC.
Work from home, and on the road. Monday - Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness.
Provides assessment, planning, implementation and evaluation of patient's progress.
Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Implements care such as negotiation the delivery of durable medical equipment and nursing services.
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel.
Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.
A cost containment background, such as utilization review or managed care is helpful.
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
Graduate of accredited school of nursing.
Current RN Licensure in state of operation
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required.
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) A list of our benefit offerings can be found on our CorVel website: CorVel Careers - Opportunities in Risk Management
About CorVel - Medical Case Managers
CorVel, a certified Great Place to Work - Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/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, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.

Keywords: CorVel Corporation, Asheville , Medical Case Management Manager, Executive , Asheville, North Carolina

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