CA Medical Case Manager I - RN

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in San Diego, CA. Work from home and on the road. Monday – Friday, regular business hours. Responsibilities Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source Utilizes medical and nursing knowledge to discuss current treatment plans with the physician and discuss alternate treatment plans Provides assessment, planning, implementation, and evaluation of patient’s progress Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness Attends doctors, other providers, home and in some cases attorney visits Attends hospital and/or long-term facility discharge planning conferences for the purpose of determining appropriateness of care and developing an effective long-term care strategy Conducts home visit for initial evaluation Implements care such as negotiating the delivery of durable medical equipment and nursing services 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 May require overnight travel Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ("IIPP") Additional duties as required Knowledge & Skills Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers Background in cost containment, such as utilization review or managed care, is helpful Strong interpersonal, time management, and organizational skills Computer proficiency and technical aptitude with ability to utilize Microsoft Office, including Excel spreadsheets Ability to work both independently and within a team environment Education & Experience Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred Graduate of accredited school of nursing Current RN License in the state of operation Certification as a CCM, CIRS, or other Case Management certifications preferred A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account federal, state, and local minimum wage requirements, geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. 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 will be provided state‑of‑the‑art technological devices to ensure ready access to CorVel’s proprietary Case Management application. CorVel is an Equal Opportunity Employer, drug‑free workplace, and complies with ADA regulations as applicable. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr CorVel Corporation