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.

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>
<li>FL/PA Workers Compensation case management experience 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 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.

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>

<div>The Quality Assurance Specialist participates in all assigned activities to assist the Medicare Services team to ensure team compliance. The QA Specialist will work closely with all other team members completing activities such as file audits, training manual updates, document formatting, and work flow management assistance. This position is temporarily remote during pandemic.

This is a hybrid position.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Responsible for team file reviews</li>
<li>Responsible for updating team training modules in SharePoint</li>
<li>Responsible for team outcome tracking in Excel</li>
<li>Responsible for tracking unit Medicare pricing in Excel</li>
<li>May assist Medicare Services VP with daily work flow</li>
<li>May assist Medicare Services VP with daily invoicing</li>
<li>May assist Medicare Service VP with marketing documents and customer outreach</li>
<li>Requires punctual and consistent attendance</li>
<li>Maintain HIPAA compliance in all aspects of communications</li>
<li>Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)</li>
<li>Provides general support to nursing staff and management</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Proficient in Microsoft applications especially Excel and SharePoint</li>
<li>Proficient in editing functions of Adobe Acrobat Professional</li>
<li>Detail oriented</li>
<li>Exceptional organizational skills</li>
<li>The ability to work independently, as well as with a team</li>
<li>The ability to work in a fast paced/production environment</li>
<li>Excellent written and verbal communication skills</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor&rsquo;s degree or combination of education and experience</li>
<li>6 months to 1 year demonstrated Microsoft applications experience</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: $25.48 - $41.09 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 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-Hybrid
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>

Quality Assurance Specialist III

<div>The Workers&rsquo; Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

 This is a hybrid role.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives Workers&rsquo; Compensation claims, confirms policy coverage and acknowledgment of the claim</li>
<li>Determines validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Manages non-complex lost-time workers&rsquo; compensation claims under close supervision</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional projects and duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>Current license or certification in Workers&rsquo; Compensation must be maintained throughout employment with CorVel</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: $52,999 &ndash; $85,473

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-Hybrid
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>

Claims Specialist

<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 position. The shift for this role is Monday - Friday: 1:00 PM - 9:30 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 Care Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers&rsquo; reported injury(ies), reviews medical data in CareMC, validates and secures medical information, assesses and evaluates prescribed treatment of work related injury. The Care Advocate Nurse functions as a nurse consultant, supporting the goals of the Claims Management department and of CorVel.
 
 
 This is a remote role.
 
 
 
 Essential Functions &amp; Responsibilities
 
 
 
 <ul>
 <li>
 Initiates and receives telephonic contact with reported injured worker, employer and medical providers to obtain treatment plan, secures medical documentation, and assesses if injured worker has returned to work
 </li>
 <li>
 Responsible for detailed documentation within the claim system focusing on medical condition, treatment plan and return to work status
 </li>
 <li>
 Directs callers to appropriate medical and/or claim resources
 </li>
 <li>
 Identifies and communicates urgent situations related to treatment or patient condition directly to the claim team
 </li>
 <li>
 Functions as nurse consultant to the claim team
 </li>
 <li>
 Assesses appropriate medical follow-up and makes necessary recommendations to the claim team, working closely with team to assist in identifying potential red flags from the injury that may require further follow-up or additional services
 </li>
 <li>
 Adheres to the Care Advocate Nurse production standards and Account special handling guidelines
 </li>
 <li>
 Additional duties as assigned
 
 
 </li>
 </ul>
 
 Knowledge &amp; Skills
 
 
 
 <ul>
 <li>
 Fundamental concepts, practices and procedures of early intervention in the field of Workers&rsquo; Compensation (WC)
 </li>
 <li>
 Excellent verbal and written communication skills
 </li>
 <li>
 Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet production standards deadlines and maintaining strong customer service orientation
 </li>
 <li>
 Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Outlook, Word, and Excel spreadsheets
 </li>
 <li>
 Strong interpersonal skills
 </li>
 <li>
 Great attention to detail, and results focused
 </li>
 <li>
 Ability to work independently and as part of a team
 
 
 </li>
 </ul>
 
 Education/Experience
 
 
 
 <ul>
 <li>
 Minimum of 2 years' clinical nursing experience
 </li>
 <li>
 Graduate of an approved accredited school of nursing
 </li>
 <li>
 Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained throughout employment with CorVel
 
 
 </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: $61,053 - $98,334
 
 
 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 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.
 
 
 
</div>

Care Advocate Nurse

<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.

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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>

Join CorVel Corporation and explore 21   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.

CorVel Corporation

About Company

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