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Medical Case Manager I
CorVel Corporation. Provide in-person and telephonic Medical Case Management .
Posted 11/3/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $31 - $46 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medical Case Management, including patient assessment, treatment planning, and collaboration with healthcare providers. Holds a Registered Nurse (RN) license and possesses strong communication and organizational skills to manage a caseload effectively.
Highest-signal resume keywords
Registered Nurse (RN)Medical Case ManagementPatient AssessmentCommunication SkillsCost Containment
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient EvaluationTreatment PlanningUtilization ReviewDurable Medical Equipment NegotiationClinical Background in OrthopedicsClinical Background in NeurologyClinical Background in Rehabilitation
Soft Skills
Interpersonal SkillsTime ManagementOrganizational SkillsMulti-tasking Skills
Tools & Technologies
Microsoft OfficeExcel Spreadsheets
Certifications & Qualifications
Current RN LicensureCCM CertificationCIRS Certification
Industry Keywords
Workers’ CompensationHealthcare ProvidersPatient RecoveryCost EffectivenessSafety Regulations
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, team members, employers, referral sources, attorneys, and other stakeholders
- Discuss current and alternate treatment plans with physicians using medical and nursing knowledge
- Assess, plan, implement, and evaluate patient progress
- Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness
- Attend doctors’, providers’, home, and occasionally attorneys’ visits
- Attend hospital and long-term facility discharge planning conferences
- 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
- Comply with safety rules and regulations
- Perform additional duties as required
Requirements
What you’ll need- Registered nurse (RN)
- Graduate of an accredited school of nursing
- Current RN Licensure in state of operation
- Valid driver’s license
- Reliable transportation
- Ability to travel to assigned locations
- Experience as an RN Medical Case Manager is ideal, or clinical background in orthopedics, neurology, or rehabilitation preferred
- Certification as a CCM, CIRS, or other Case Management certifications preferred
- Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
- Strong interpersonal, time management, and organizational skills
- Computer proficiency and technical aptitude
- Ability to utilize Microsoft Office, including Excel spreadsheets
- Ability to work independently and within a team environment
- Ability to meet with patients, physicians, healthcare providers, attorneys, advisors/clients, and coworkers
- Cost containment background, such as utilization review or managed care, helpful
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
- Supportive culture
- Great Place to Work® Company