Qureos Mentor

CorVel Corporation

<div>The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient&rsquo;s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel.

This is a remote position, but all candidates must reside in one of the following states: NE, IA, MO, KS.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source</li>
<li>Provide assessment, planning, implementation, and evaluation of patient's progress</li>
<li>Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness</li>
<li>Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician</li>
<li>Make medical recommendations of available treatment plans to the payer</li>
<li>Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services</li>
<li>Devise cost-effective strategies for medical care</li>
<li>Required to prepare organized reports within a specified timeframe</li>
<li>Minimum Productivity Standard is 95% per month</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Ability to make independent medical decisions and recommendations to all parties</li>
<li>Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li>
<li>Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers</li>
<li>Excellent written and verbal communication skills</li>
<li>Ability to meet designated deadlines</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor&rsquo;s degree required, BSN preferred</li>
<li>Graduate of accredited school of nursing</li>
<li>Current RN Licensure in state of operation</li>
<li>3 or more years of recent clinical experience, preferably in rehabilitation</li>
<li>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</li>
<li>Strong clinical background in orthopedics, neurology, or rehabilitation preferred</li>
<li>Strong cost containment background, such as utilization review or managed care helpful</li>
<li>Certification as a CIRS or CCM preferred</li></ul> 


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: $63,739 &ndash; $95,264

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Telephonic Case Manager I

<div>The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. 


ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Responsible for directing a designated group of employees in their day-to-day operations</li>
<li>Responsible for quality of service provided</li>
<li>Responsible for human resources matters directly related to department supervised</li>
<li>May be required to travel overnight and attend meetings</li>
<li>May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses</li>
<li>May be responsible for limited marketing and sales activities</li>
<li>May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN)</li>
<li>For Supervisors who are not RN&rsquo;s, the clinical oversight and direction will be performed by a designated RN with a nationally recognized certification. This could be a case management supervisor, another manager or local executive</li>
<li>May perform case management responsibilities (dependent on whether or not unit manager is an RN for medical case management activities or qualified for vocational case management)</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Clear written and verbal communication skills with the ability to communicate complex ideas across multiple platforms</li>
<li>Ability to remain poised in stressful situations and communicate diplomatically</li>
<li>Ability to skillfully manage multiple, complex projects and competing priorities while working under pressure to meet deadlines and maintaining strong customer service orientation</li>
<li>Ability to work independently, while remaining available to others</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Must have technical knowledge of applicable laws, policies, and procedures in defined territory</li>
<li>Strong interpersonal, time management and analytical skills</li>
<li>Great attention to detail and focus on results</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Graduate of accredited school of nursing with a diploma/associate's degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)</li>
<li>Current RN licensure in state of operation</li>
<li>3 or more years of recent clinical experience, preferably in rehabilitation</li>
<li>National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred</li>
<li>Demonstrated experience in management or supervision</li></ul> 


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: $77,960 &ndash; $120,368

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Case Management Supervisor

<div>CorVel is hiring a Medical Bill Review Analyst. The Bill Review Analyst is responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.

This is a remote role.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
<ul>
<li>Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts.</li>
<li>Position requires knowledge of the Fee Schedule and the operation of the computer terminal</li>
<li>May consult reference materials in the auditing process</li>
<li>Requires regular and consistent attendance.</li>
<li>Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).</li>
<li>Additional duties as assigned.</li></ul> 


PRODUCTION REQUIREMENTS:
<ul>
<li>Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Knowledge of medical terminology, workers&rsquo; compensation billing guidelines and fee schedules</li>
<li>Knowledge of CPT/ICD/HCPS coding</li>
<li>Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred</li>
<li>Strong interpersonal skills and commitment to customer service.</li>
<li>Able to work collaboratively and independently.</li>
<li>Able to identify problems and find creative, effective solutions.</li>
<li>Able to balance multiple priorities.</li>
<li>Excellent verbal and written communication skills.</li>
<li>Highly developed organizational abilities as well as time management skills.</li>
<li>Must be proficient in Microsoft applications.</li></ul> 


EDUCATION/EXPERIENCE:
<ul>
<li>High school diploma or equivalent.</li>
<li>1-2 years of data entry experience.</li>
<li>Experience with Medical Bill Review preferred.</li></ul> 


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: $13.08 - $22.89 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/) 


About CorVel (https://www.corvel.com/)

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Medical Bill Review Analyst I

<div>The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient&rsquo;s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel.

This is a remote role.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source</li>
<li>Provide assessment, planning, implementation, and evaluation of patient's progress</li>
<li>Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness</li>
<li>Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician</li>
<li>Make medical recommendations of available treatment plans to the payer</li>
<li>Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services</li>
<li>Devise cost-effective strategies for medical care</li>
<li>Required to prepare organized reports within a specified timeframe</li>
<li>Minimum Productivity Standard is 95% per month</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Ability to make independent medical decisions and recommendations to all parties</li>
</ul><ul><li>Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment</li>
<li>Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers</li>
<li>Excellent written and verbal communication skills</li>
<li>Ability to meet designated deadlines</li>
<li>Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor&rsquo;s degree required, BSN preferred</li>
<li>Graduate of accredited school of nursing</li>
<li>Current RN Licensure in state of operation</li>
<li>3 or more years of recent clinical experience, preferably in rehabilitation</li>
<li>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</li>
<li>Strong clinical background in orthopedics, neurology, or rehabilitation preferred</li>
<li>Strong cost containment background, such as utilization review or managed care helpful</li>
<li>Certification as a CIRS or CCM preferred</li></ul> 


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: $63,739 - $95,264

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Telephonic Case Manager I - Columbia, SC

<div>This is an opportunity to work with CorVel&rsquo;s tight-knit, dedicated Information Security and Privacy team to contribute to the protection of corporate digital assets and reduce business risk. This role will partner with various lines of business, system and application engineers, and business experts to research and recommend secure solutions, assess technical designs, categorize systems, select controls, provide security governance, and have a lasting and important impact to the business. 


ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Foster information security practices and procedures across the organization</li>
<li>Research, analyze, and formulate recommendations for technologies, products, and solutions to enable business</li>
<li>Provide technical inputs, system security controls, evaluate and recommend new and emerging security products and technologies</li>
<li>Work with engineering teams to threat model technical designs and implementation of solutions</li>
<li>Act as a subject matter expert and partner with other engineers to select appropriate security controls</li>
<li>Further mature and maintain vulnerability management processes and metrics</li>
<li>Assist with a variety of risk assessments</li>
<li>Assist with vendor risk assessments, and provide customer assurance</li>
<li>Other duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Team player eager to contribute, even in areas outside of individual ownership</li>
<li>Self-starter that sees projects through to completion</li>
<li>Operates well under stress and in occasional chaotic environments</li>
<li>Exemplifies humility, open-mindedness, empathy, integrity, and grit</li>
<li>Committed to lifelong learning and personal development</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>3 - 5 years of experience in information security</li>
<li>Specific experience with two or more of the following areas:
<ul><li>Threat modeling</li>
<li>Secure system design and development</li>
<li>System security assessments</li>
<li>Vulnerability management</li>
<li>Security risk management</li>
</ul></li><li>Experience with FIPS, NIST 800-53/CSF, or other relevant frameworks</li>
<li>Notable cloud security experience</li>
<li>Relevant security certification preferred (CC, CompTIA Security+, CISSP, SANS, etc.)</li>
<li>Outstanding written and spoken communication skills</li></ul> 


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: $87,190 &ndash; $134,613

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote 
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Info Security Engineer II

<div>The CareIQ Intake Specialist provides administrative customer service assistance to claimants, providers, and claims management by receiving and entering new ancillary healthcare referrals. Utilizing proprietary systems and knowledge from training, a CareIQ Intake Specialist will provide excellent telephonic and written customer service to both inbound and outbound customers. A CareIQ Intake Specialist operates with a high focus on accuracy and urgency to ensure that service orders are received quickly in alignment with the claimant and customer needs.

This is a remote role.
The shift for this position is Monday - Friday: 11:00 AM - 7:30 PM EST.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITES:
<ul>
<li>Provides quality and friendly telephonic customer service in an inbound and outbound high-volume call-center environment</li>
<li>Completes accurate data entry and review</li>
<li>Able to learn and operate corporate proprietary systems</li>
<li>Enters assigned electronic (email/fax/data feed) orders into coordination system</li>
<li>Ensures all case stakeholders are updated regularly</li>
<li>Transcribes correspondence/reports from dictation</li>
<li>Uses problem solving and critical thinking skills to ensure that daily scheduling challenges do not cause delays in securing appointments</li>
<li>Meets departmental production and quality performance expectations</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Ability to work on several concurrent tasks and prioritize workload to meet designated deadlines</li>
<li>Excellent written and verbal communication skills</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office and Proprietary Systems</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to maintain a professional and courteous demeanor that sets tone for complex telephonic conversations</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>High School diploma</li>
<li>Prior work experience in a detail-oriented customer service environment</li></ul> 


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: $15.61 - $23.82 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; 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 3500 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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

CareIQ Intake Specialist I

<div>The Diagnostic Related Groups (DRG) Clinical Supervisor is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. This involves completing medical review forms, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination.

This is a remote position.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Supervises all daily activities of the DRG Clinical Auditors</li>
<li>Demonstrated knowledge of, ICD-10-CM and PCS codes, and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid with the ability to work independently with minimal supervision and demonstrate initiative</li>
<li>Completes DRG audits as needed</li>
<li>Responsible for the overall integrity of the quality of diagnosis and procedure codes verified by the clinical review nurses, for inpatient records and documentation received with the accompanied claim</li>
<li>Responsible for holding the DRG Clinical Auditors to the quota and error/accuracy rate</li>
<li>Assists with team coverage and provide support when needed</li>
<li>May be required to travel overnight and attend meetings or training</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Clinical knowledge of medical necessity rules</li>
<li>Working knowledge of HIPAA Privacy and Security Rules</li>
<li>Ability to build strong working relationships both internally and externally</li>
<li>Strong attention to detail</li>
<li>Must possess problem solving, critical thinking skills</li>
<li>Minimal typing experience</li>
<li>Excellent written and verbal communication skills</li>
<li>Ability to think and work independently, while working in an overall team environment</li>
<li>Ability to work in a fast paced/production environment</li>
<li>Proficient in Microsoft Office applications</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>N./L.V.N. preferred</li>
<li>CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10 PCS</li>
<li>Proficient in Medicare, CMS guidelines and ICD-10 coding guidelines</li>
<li>Minimum of 3-5 years of inpatient/DRG auditing experience in a hospital setting and/or payer setting</li>
<li>A minimum of 2 years of supervisory experience dealing with clinical auditors is required</li>
<li>Experience with claims denials and appeals required</li></ul> 


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: $77,960 &ndash; $120,368

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

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CERIS:

CERIS, a division of CorVel Corporation, a certified Great Place to Work&reg; Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We 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.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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Clinical Review Supervisor

Join CorVel Corporation and explore 15   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.