CA Medical Case Manager I

CorVel
Fresno, CA
Category Healthcare
Job Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Fresno, CA. The Medical Case Manager will work from home, and on the road, Monday – Friday, regular business hours, and will be responsible for making a meaningful difference in the lives of injured workers and their families.

Requirements

  • 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 the current treatment plan 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's visits
  • Attends hospital and/or long-term facility discharge planning conferences, etc. 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

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
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