CorVel Corporation · 10 hours ago
Telephonic Case Manager I
United States
Full-time
Remote
Mid Level
$62K/yr - $93K/yr
3+ years expCorVel Corporation is a national provider of risk management solutions, and they are seeking a Telephonic Case Manager I to coordinate resources and develop personalized care plans for ill or injured individuals. The role involves using clinical expertise to assess treatment plans and communicating with physicians and patients to ensure effective care delivery.
InsuranceSoftware
Responsibilities
Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source
Provide assessment, planning, implementation, and evaluation of patient's progress
Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness
Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician
Make medical recommendations of available treatment plans to the payer
Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services
Devise cost-effective strategies for medical care
Required to prepare organized reports within a specified timeframe
Minimum Productivity Standard is 95% per month
Additional duties as assigned
Qualification
Required
California Nursing License required
Bilingual in English and Spanish required
Bachelor's degree required
Graduate of accredited school of nursing required
Current RN Licensure in state of operation required
3 or more years of recent clinical experience required
URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire
Ability to make independent medical decisions and recommendations to all parties required
Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment required
Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers required
Excellent written and verbal communication skills required
Ability to meet designated deadlines required
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets required
Strong interpersonal, time management, and organizational skills required
Ability to work both independently and within a team environment required
Preferred
BSN preferred
Strong clinical background in orthopedics, neurology, or rehabilitation preferred
Strong cost containment background, such as utilization review or managed care helpful
Certification as a CIRS or CCM preferred
Benefits
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
Paid time off
Company
CorVel Corporation
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
unknown1991-07-05IPO
Leadership Team
Jeff Gurtcheff
Chief Claims Officer
Maxim Shishin
CIO
Recent News
CorVel Corp.
2025-11-04
2025-10-22
2025-10-06
Company data provided by crunchbase