Medical Case Manager ; RN

Cor Vel Corporation is hiring a full-time caring, self-motivated, energetic, and independent registered nurse to fill a Medical Case Manager position in the Overland Park, KS area. Must live in or around Overland Park, KS area.

Work from home and on the road.

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. Responsible for working with a caseload of workers' compensation injured workers within a defined jurisdiction.

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 the patient’s treatment plan for appropriateness, medical necessity, and cost-effectiveness.
• Provides assessment, planning, implementation, and evaluation of the patient’s progress.
• Attends doctors', other providers', home, and in some cases, attorney visits.
• Attends hospital and/or long-term facility discharge planning conferences 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 negotiating 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.

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 environment.

EDUCATION:

• Graduate of an accredited school of nursing.
• Current RN Licensure in the state of operation.
• Certification as a CCM, CIRS, or other Case Management certifications are preferred.
• A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.

PAY RANGE:

Cor Vel 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 the 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: $62,306 – $93,123

A list of our benefit offerings can be found on our Cor Vel website:
Cor Vel Careers | Opportunities in Risk Management.

About Cor Vel – Medical Case Managers: Cor Vel, 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. Cor Vel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human…