- 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.
- This role 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
- This role may require overnight travel.
- 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 environment.
- Graduate of accredited school of nursing.
- Current RN Licensure in state of operation.
- Certification as a CCM, CIRS, or other Case Management certifications are required.
- Previous case management experience required.
- A valid driver's license, reliable transportation, and ability to travel to assigned locations is required.
-
Practice Manager III
1 week ago
HCA Florida West Primary Care Pensacola, United StatesDescription · This position is incentive eligible. · Introduction · Do you have the career opportunities as a(an) Practice Manager III you want with your current employer? We have an exciting opportunity for you to join HCA Florida West Primary Care which is part of the nation ...
-
Property Development Manager III
3 weeks ago
Navy Federal Credit Union Pensacola, United StatesOverview · To provide full lifecycle project management in one or more of the following: design, construction, renovation, and quality assurance, at the company-owned/leased commercial offices and remote ATM facilities. Exercise a proactive strategy and technical expertise to pr ...
-
Practice Manager III
1 week ago
HCA Healthcare Pensacola, United States Full timeDescription · This position is incentive eligible. · Introduction · Do you have the career opportunities as a(an) Practice Manager III you want with your current employer? We have an exciting opportunity for you to join HCA Florida West Primary Care which is part of the nations ...
-
Incident Manager III
3 weeks ago
Allyon Pensacola, United StatesSummary: · Allyon, Inc. is an established IT and Healthcare Services firm and we love what we do It makes our day when we are able help talented individuals achieve their career goals while at the same time helping our clients build quality teams. If you are interested in joini ...
-
Project Manager III
1 week ago
Navy Federal Credit Union Pensacola, United StatesOverview · To plan, manage, and execute all aspects of life-cycle projects from inception through implementation. To develop project plans and deliver solutions on schedule and within budget in support of service innovations and organizational and process changes/enhancements. ...
-
Project Manager III
1 week ago
Navy Federal Credit Union Pensacola, United StatesOverview · To plan, manage, and execute all aspects of life-cycle projects from inception through implementation. To develop project plans and deliver solutions on schedule and within budget in support of service innovations and organizational and process changes/enhancements. · ...
-
Business Unit Change Manager II/III
1 day ago
Navy Federal Credit Union Pensacola, United StatesTo serve as change management expert and provide mentoring and direction to departmental stakeholders, project managers and other key business partners. Develop and implement strategic departmental change management plans. Promote departmental object Manager, Business, Business P ...
-
Medical Case Manager III
3 weeks ago
CorVel Healthcare Corporation Pensacola, United States Part timeJob Description · Job DescriptionCorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Panama City/Pensacola FL area. · Work from home, and on the road. Full time or Part time available. · ...
-
Business Unit Change Manager III
4 days ago
Navy Federal Credit Union Pensacola, United StatesJob Description · To serve as change management expert and provide leadership, mentoring, and direction to departmental stakeholders, project managers and other key business partners. Develop and implement strategic departmental change management plans. Promote departmental obje ...
-
Victory Solutions Inc. Pensacola, United StatesVictory Solutions · Configuration and Data Management Specialist III for SLS · Huntsville , · Alabama · Apply Now · Victory Solutions, Inc. is a service-disabled veteran-owned (SDVO) and woman-owned small business (WOSB) in the aerospace, defense, and technical engineering i ...
-
Fraud Engineer III
2 weeks ago
INSPYR Solutions Pensacola, United States ContractTitle: Fraud Engineer III · Location: Pensacola Fl (Must be on site 5 days per week) · Duration: Initial 6 months with extensions · Work Requirements: US Citizen, GC Holders or or Authorized to work in US · *FT Onsite* - Must be on site 5 days per week. Prefer GPO, but open to HQ ...
-
Business Solutions Developer II/III
2 weeks ago
Navy Federal Credit Union Pensacola, United States Full timeAnalyze business needs to develop and implement solutions that leverage systems and processes with a moderate degree of latitude. Work with the business to understand their needs, related to information technology and enhance business processes by identifying new functionality. U ...
-
environmental specialist iii
2 weeks ago
State of Florida Pensacola, United StatesRequisition No: · Agency: Department of Health · Working Title: ENVIRONMENTAL SPECIALIST III · Pay Plan: Career Service · Position Number: · Salary: $45,308.75 · Posting Closing Date: 06/13/2024 · Total Compensation Estimator Tool · Open Competitive Opportunity · This is a t ...
-
Planner III
2 weeks ago
National Association Of Development Organizations Pensacola, United States**Job Listing: Planner III (Transportation)** · > > Planner III (Transportation) · Emerald Coast Regional Council *Published: September 2, 2021* Location Pensacola, Florida Job Type **Description** · **Emerald Coast Regional Council** · **Planner III** · Emerald Coast Region ...
-
MedPro Claims Research Specialist lll
3 weeks ago
West Florida Medical Center Clinic PA Pensacola, United StatesJob Type · Full-time · Description · JOB SUMMARY · Under the direction of the MedPro Claims Research Supervisor, the Claims Research Specialist III is responsible for performing the duties related to insurance follow up/collection and maintaining of accounts receivables. · ESSE ...
-
Operations and Maintenance
2 weeks ago
Novel Applications Pensacola, United StatesResidency Status: ALL Candidates Must Be A U.S. Citizen · Clearance: Must have Active/Current Top Secret clearance and be able to obtain a TSSCI clearance · Time Type: Full-Time, Daytime Schedule - Hybrid · Relocation Fees: No · Travel: No · Company Overview: · NAOVI is a premier ...
-
STRATASCORP Pensacola, United StatesAt StratasCorp, our mission strives to put employees first while still being recognized as a leader in the Department of Defense Information Technology sector. We believe in a continuing pursuit of customer satisfaction and operational excellence while exceling in service innovat ...
-
Counselor II
2 weeks ago
Lutheran Services Florida Pensacola, United StatesLutheran Services Florida (LSF) envisions a world where children are safe, families are strong and communities are vibrant . · LSF is looking for a talented · Counselor II · who wants to make an impact in the lives of others. · Purpose & Impact · The Counselor II will provide ass ...
-
Maintenance Mechanic
2 weeks ago
EMR USA Metal Recycling Pensacola, United States· Maintenance Mechanic · Pensacola, FL, USA · Req #576 · Friday, May 10, 2024 · About Us: · EMR is one of the world's leading metal recycling companies with a history spanning decades. At EMR, our employees are the heart and soul of our organization. We are committed to creating ...
-
DC Installer
3 weeks ago
National Power, LLC Pensacola, United StatesJob Description · Job DescriptionSummary · Founded in 1989 and based out of Raleigh, NC, National Power, LLC is a premier provider of critical infrastructure and back-up power solutions. National Power has an immediate need for a DC Installer in our Florida territory, with potent ...
Medical Case Manager III - Pensacola, United States - CorVel Corporation
Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Panama City/Pensacola FL area.
Work from home, and on the road. Full time or Part time available.
As a Medical Case Manager 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.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
KNOWLEDGE & SKILLS:
EDUCATION & EXPERIENCE:
PAY RANGE:
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.
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.
Pay Range: $70,016 – $108,106
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
About CorVel – Medical Case Managers
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).
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. 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.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
