Telephonic Case Manager I

CorVel Corporation

. Provide medical case management through coordination with patients, physicians, healthcare providers, employers, and referral sources .

Posted 9/29/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $31 - $46 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical case management, including patient assessment, treatment planning, and coordination with healthcare providers. Holds relevant nursing licensure and certifications while maintaining high productivity and compliance standards.

Highest-signal resume keywords

RN LicensureCase Management CertificationClinical Experience in Orthopedics, Neurology, or RehabilitationCost Containment BackgroundEffective Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Patient AssessmentTreatment Plan EvaluationMedical RecommendationsCost-Effective Care StrategiesMedical Case Management

Soft Skills

Multi-TaskingInterpersonal SkillsTime ManagementOrganizational SkillsIndependent Decision-Making

Tools & Technologies

MS OfficeExcel Spreadsheets

Certifications & Qualifications

Case Management Certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC)

Industry Keywords

Utilization ReviewManaged CareDurable Medical EquipmentInjury and Illness Prevention Program

About the role

Key responsibilities & impact

Provide medical case management through coordination with patients, physicians, healthcare providers, employers, and referral sources
Assess, plan, implement, and evaluate patient progress
Evaluate treatment plans for appropriateness, medical necessity, and cost effectiveness
Use medical and nursing knowledge to discuss current and alternative treatment plans with physicians
Make medical recommendations to the payer
Negotiate and coordinate delivery of durable medical equipment and nursing services
Devise cost-effective medical care strategies
Prepare organized reports within specified timeframes
Maintain a minimum productivity standard of 95% per month
Comply with safety rules and regulations under the Injury and Illness Prevention Program
Perform additional duties as assigned

Requirements

What you’ll need

Bachelor’s degree required; BSN preferred
Graduate of accredited school of nursing
Current RN Licensure in state of operation
3 or more years of recent clinical experience
URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire
Strong clinical background in orthopedics, neurology, or rehabilitation preferred
Strong cost containment background, such as utilization review or managed care helpful
Certification as a CIRS or CCM preferred
Ability to make independent medical decisions and recommendations
Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment
Ability to interface with claims staff, attorneys, physicians and their representatives, advisors/clients, and coworkers
Excellent written and verbal communication skills
Ability to meet designated deadlines
Computer proficiency and technical aptitude, including MS Office and Excel spreadsheets
Strong interpersonal, time management, and organizational skills
Ability to work independently and within a team environment

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
Career advancement opportunities
Remote work