Telephonic Case Manager I

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel.<br><br>This is a remote position.<br><br><strong>Essential Functions & Responsibilities<br><br></strong><ul><li>Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source</li><li>Provide assessment, planning, implementation, and evaluation of patient's progress</li><li>Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness</li><li>Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician</li><li>Make medical recommendations of available treatment plans to the payer</li><li>Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services</li><li>Devise cost-effective strategies for medical care</li><li>Required to prepare organized reports within a specified timeframe</li><li>Minimum Productivity Standard is 95% per month</li><li>Additional duties as assigned<br><br></li></ul><strong>Knowledge & Skills<br><br></strong><ul><li>Ability to make independent medical decisions and recommendations to all parties</li><li>Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li><li>Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers</li><li>Excellent written and verbal communication skills</li><li>Ability to meet designated deadlines</li><li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets</li><li>Strong interpersonal, time management, and organizational skills</li><li>Ability to work both independently and within a team environment<br><br></li></ul><strong>Education & Experience<br><br></strong><ul><li>Bachelor’s degree required, BSN preferred</li><li>Graduate of accredited school of nursing</li><li>Current RN Licensure in state of operation</li><li>3 or more years of recent clinical experience, preferably in rehabilitation</li><li>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</li><li>Strong clinical background in orthopedics, neurology, or rehabilitation preferred</li><li>Strong cost containment background, such as utilization review or managed care helpful</li><li>Certification as a CIRS or CCM preferred<br><br></li></ul><strong>Pay Range<br><br></strong>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 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. Our ranges may be modified at any time.<br><br>For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.<br><br>Pay Range: $63,739 – $95,264<br><br>A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management<br><br>In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.<br><br><strong>About Corvel<br><br></strong>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. 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 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).<br><br>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.<br><br><strong>CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.<br><br></strong>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

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Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

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With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

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Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

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The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

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This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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