Medical Case Manager (RN)
Company: CorVel Healthcare Corporation
Location: Baton Rouge
Posted on: January 7, 2021
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Job Description:
CorVel Corporation is hiring a caring, self-motivated, energetic
and independent registered nurse to fill a Medical Case Manager
(Nurse) position in Baton Rouge or Lafayette Louisiana.
Work from home, and on the road. Monday - Friday, regular business
hours.
As a Medical Case Manager (Nurse) you will make a meaningful
difference in the lives of injured workers and their families. Your
responsibilities include working closely with injured workers to
facilitate their recovery. 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.
About CorVel
CorVel 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 publically traded on the NASDAQ stock exchange since 1991.
Our continual investment in human capital and technology enable us
to deliver the most innovative and integrated solutions to our
clients. We are a stable and growing company with a strong,
supportive culture and plenty of career advancement opportunities.
Over 3500 people working across the United States embrace our core
values of Accountability, Commitment, Excellence, Integrity and
Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time
employees and includes medical, dental, vision, 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.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
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 doctors, other providers, home and in some cases,
attorney's visits.
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. Initial home visit for initial evaluation.
Implements care such as negotiation the delivery of durable medical
equipment and nursing services.
KNOWLEDGE & EXPERIENCE:
Effective communication and multi-tasking skills in a high-volume,
fast-paced, team-oriented environment.
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.
Strong interpersonal, time management and organizational
skills.
Computer proficiency and technical aptitude with the ability to
utilize MS Office including Excel spreadsheets.
Ability to work both independently and within a team
environments.
EDUCATION
Graduate of accredited school of nursing.
Current RN Licensure in state of operation.
Certification as a CCM, CIRS, or other Case Management
certifications are preferred.
This position requires local, distance or otherwise regular travel
via vehicle. A valid driver's license, reliable transportation, and
ability to travel to assigned locations is required.
Keywords: CorVel Healthcare Corporation, Baton Rouge , Medical Case Manager (RN), Healthcare , Baton Rouge, Louisiana
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