Medical Case Manager

CorVel Corporation

. Provide in-person and telephonic Medical Case Management .

Posted 11/2/2026full-timeRemote • Hawaii • United StatesMid-LevelSenior💰 $63,739 - $95,264 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medical Case Management, including patient assessment, treatment planning, and collaboration with healthcare providers. Proficient in managing workers' compensation cases and ensuring cost-effective care strategies.

Highest-signal resume keywords

Registered Nurse (RN)Medical Case Management ExperienceClinical Background in OrthopedicsCost Containment BackgroundCertification as a CCM or CIRS

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient AssessmentTreatment PlanningCase ManagementUtilization ReviewCost Effectiveness Evaluation

Soft Skills

Effective CommunicationTime ManagementOrganizational SkillsInterpersonal SkillsMulti-tasking Skills

Tools & Technologies

Microsoft OfficeExcel Spreadsheets

Certifications & Qualifications

Registered Nurse LicensureCCM CertificationCIRS Certification

Industry Keywords

Workers' CompensationDurable Medical EquipmentRehabilitationNeurologyOrthopedics

About the role

Key responsibilities & impact

Provide in-person and telephonic Medical Case Management
Work closely with injured workers to facilitate recovery
Collaborate with patients, families, medical providers, employers, referral sources, attorneys, advisors/clients, and coworkers
Discuss current and alternate treatment plans with physicians
Assess, plan, implement, and evaluate patient progress
Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness
Attend doctors’, provider, home, and in some cases attorney visits
Attend hospital and long-term facility discharge planning conferences
Determine appropriateness of care and develop effective long-term care strategies
Conduct home visits for initial evaluations
Negotiate delivery of durable medical equipment and nursing services
Manage a caseload of workers’ compensation injured workers within a defined jurisdiction
Travel locally and potentially overnight based on injured workers’ needs
Perform additional duties as required

Requirements

What you’ll need

Registered nurse (RN)
Graduate of accredited school of nursing
Current RN Licensure in state of operation
Valid driver’s license
Reliable transportation
Ability to travel to assigned locations
Ability to travel locally up to approximately 60% of the work week/month
Overnight travel may be required
Computer proficiency and technical aptitude, including Microsoft Office and Excel spreadsheets
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Strong interpersonal, time management, and organizational skills
Ability to work independently and within a team environment
RN Medical Case Manager experience is ideal
Clinical background in orthopedics, neurology, or rehabilitation is preferred
Cost containment background, such as utilization review or managed care, is helpful
Certification as a CCM, CIRS, or other Case Management certification is preferred

Benefits

Comp & perks

Medical (HDHP) with Pharmacy
Dental insurance
Vision insurance
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
Bonus eligibility
State-of-the-art technological devices
Career advancement opportunities
Work from home