We have an exciting opportunity for a Senior Advisor within our Executive Advisory Services team focused on the Managed Care space. This highly visible role operates at the intersection of data, strategy, and executive advisory, helping clients identify opportunities to improve program performance, reduce total cost of risk, and enhance outcomes through data-driven decision making.
The Senior Advisor serves as a trusted advisor to clients and internal stakeholders, leveraging analytics, industry benchmarking, market intelligence, and emerging technologies to develop executive-level assessments, identify performance gaps, and deliver executive-ready actionable recommendations. This role requires an individual who is comfortable analyzing complex and large amounts of data, succinctly presenting findings to executive audiences, and identifying innovative solutions that address evolving client needs.
As a key member of the Executive Advisory Services team, this position partners closely with Product Leadership, Business Operations, and Data teams to deliver strategic insights, support client engagements, develop thought leadership content, and help shape future advisory offerings and data-driven solutions.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Conduct executive-level assessments of managed care and workers' compensation programs to identify performance gaps, cost drivers, and opportunities for improvementAnalyze complex data sets, industry benchmarks, and market trends to develop actionable recommendations and strategic roadmaps for clientsTranslate analytical findings into executive-ready presentations, reports, and recommendations that influence business decisionsPartner with data analysts, product teams, and operational leaders to uncover insights, evaluate opportunities, and support the development of innovative solutions, tools, and data productsEngage with clients and prospects as a trusted advisor, presenting findings and facilitating strategic discussions with executive stakeholdersDevelop and publish benchmarking studies, white papers, client bulletins, and thought leadership contentMonitor industry, regulatory, legislative, and technology trends to identify emerging opportunities and risks for clients and the organizationSupport strategic client meetings, RFP responses, prospect evaluations, and executive presentationsCollaborate with internal stakeholders to advance the growth and evolution of Executive Advisory ServicesProvides indirect leadership to managed care associates, claims, account management, and salesCollaborates closely with CogencyIQ team and business operations to assure client development needs are prioritized and made available to the broader organizationAdditional duties as assignedKNOWLEDGE & SKILLS:
Demonstrated expertise in managed care services such as Network Utilization, Case Management, Bill Review and Pharmacy Benefit ManagementStrong analytical and problem-solving skills with the ability to synthesize complex information into clear, compelling business insightsPassion for data, innovation, emerging technologies, and identifying new opportunities to improve client outcomesExcellent written and verbal communication and presentation skillsAdvanced understanding of Microsoft Office products, especially ExcelLeadership presenceEDUCATION & EXPERIENCE:
Bachelor's degree required; advanced degree preferred15+ years of risk/TPA experience is required 5-15+ years in an operational or account management leadership position required10+ years of experience in managed care, workers' compensation, healthcare consulting/advisory services, or related fieldsDemonstrated experience presenting findings and recommendations to executive audiencesExperience working with analytics teams, business intelligence tools, dashboards, and data visualization platforms preferredProfessional designations such as CPCU, ARM, AIC, CCM, or similar certifications are a plusExperience in workers' compensation required; exposure to disability management, auto, or general liability, as well as commercial property and international claims adjudication is a plusPAY 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: $99,250 – $166,777
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® Company, is a national provider of industry-leading risk management solutions for the workers’ 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
Read LessThe Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment Integrity (PPI) team while maintaining the regular duties and responsibilities of this role which is accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines.
The Team Lead must also be knowledgeable of the application of client policy and industry standards within reviews conducted by CERIS including but not limited to itemized bill review, professional review, hospital outpatient; trend analysis of internal auditing, appeals of pre and post payment claims, and any other claim or record that requires quality review to determine claim accuracy; assist with development of internal quality assurance measures based on client policy and industry guidelines; perform quality assurance reviews; assist in researching and implementing best practices related to payment policy, and/or policy initiatives; researching various healthcare policies.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards as well as dialogue with team members in efforts to answer their questions and resolve barriersOversees team member work for quality and compliance and communicates deadlines and productivity goals to team members while providing ongoing training and education to staff to ensure policies and procedures are followedVerifies and corrects as necessary, the audit work completed by PPI QC analysts and clinical appeal review teams as neededReviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communicationAbility to use clinical judgement and analytical skills to appropriately review documentation submitted for claim auditsUtilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty auditsUtilize applicable tools and resources to complete internal audits and/or appealsTimely completion of internal audits and/or appealsAttends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings, and other potential meetingsAdditional duties as assignedKNOWLEDGE & SKILLS:
Ability to demonstrate understanding of CMS and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of BenefitsStrong understanding of healthcare revenue cycle and claims reimbursementProficient in Microsoft Office including Pivot Tables and Database ManagementDemonstrate ability to manage multiple projects, set priorities and adhere to committed scheduleStrong interpersonal skills and adaptive communication style, complex problem-solving skills, drive for results, innovativeExcellent written and verbal communication skillsProven track record of delivering concrete results in strategic projects/programsStrong analytical and modeling ability and distilling data into actionable resultsSuperb attention to detail and ability to deliver results in a fast paced and dynamic environmentEDUCATION/EXPERIENCE:
Must maintain a current LPN, LVN and/or RN licensure (this applies only to RN hires, not coders)Preferred experience with health insurance denials and/or appeals, payer audits, or vendor auditsPrevious experience in one or more of the following areas required:Medical bill auditingExperience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and OrthopedicsKnowledge of worker's compensation claims processProspective, concurrent and retrospective utilization reviewBachelor’s degree in healthcare or related field preferred3+ years healthcare revenue cycle or payment integrity experience3+ years of relevant experience or equivalent combination of education and work experiencePAY 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: $73,345 – $113,247
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® 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.
#LI-Remote
Read LessThe Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment Integrity (PPI) team while maintaining the regular duties and responsibilities of this role which is accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines.
The Team Lead must also be knowledgeable of the application of client policy and industry standards within reviews conducted by CERIS including but not limited to itemized bill review, professional review, hospital outpatient; trend analysis of internal auditing, appeals of pre and post payment claims, and any other claim or record that requires quality review to determine claim accuracy; assist with development of internal quality assurance measures based on client policy and industry guidelines; perform quality assurance reviews; assist in researching and implementing best practices related to payment policy, and/or policy initiatives; researching various healthcare policies.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards as well as dialogue with team members in efforts to answer their questions and resolve barriersOversees team member work for quality and compliance and communicates deadlines and productivity goals to team members while providing ongoing training and education to staff to ensure policies and procedures are followedVerifies and corrects as necessary, the audit work completed by PPI QC analysts and clinical appeal review teams as neededReviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communicationAbility to use clinical judgement and analytical skills to appropriately review documentation submitted for claim auditsUtilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty auditsUtilize applicable tools and resources to complete internal audits and/or appealsTimely completion of internal audits and/or appealsAttends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings, and other potential meetingsAdditional duties as assignedKNOWLEDGE & SKILLS:
Ability to demonstrate understanding of CMS and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of BenefitsStrong understanding of healthcare revenue cycle and claims reimbursementProficient in Microsoft Office including Pivot Tables and Database ManagementDemonstrate ability to manage multiple projects, set priorities and adhere to committed scheduleStrong interpersonal skills and adaptive communication style, complex problem-solving skills, drive for results, innovativeExcellent written and verbal communication skillsProven track record of delivering concrete results in strategic projects/programsStrong analytical and modeling ability and distilling data into actionable resultsSuperb attention to detail and ability to deliver results in a fast paced and dynamic environmentEDUCATION/EXPERIENCE:
Must maintain a current LPN, LVN and/or RN licensure (this applies only to RN hires, not coders)Preferred experience with health insurance denials and/or appeals, payer audits, or vendor auditsPrevious experience in one or more of the following areas required:Medical bill auditingExperience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and OrthopedicsKnowledge of worker's compensation claims processProspective, concurrent and retrospective utilization reviewBachelor’s degree in healthcare or related field preferred3+ years healthcare revenue cycle or payment integrity experience3+ years of relevant experience or equivalent combination of education and work experiencePAY 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: $73,345 – $113,247
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® 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.
#LI-Remote
Read LessThe Treasury Finance Manager leads the organization’s treasury function, with responsibility for financial risk management, and treasury governance. This role manages the Treasury Finance Team, provides operational direction, and partners with senior leadership and other departments to support financial strategy and growth. This role reports to the VP, Treasury Services.
This is a hybrid position reporting to the Portland/Milwaukie Office.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Develops and executes treasury finance strategies that align with CorVel’s financial objectivesLeads, mentors, and develops the Treasury Finance Team consisting of supervisor(s) and Treasury Finance SpecialistsPartners with Treasury Finance Supervisor to establish and maintain treasury policies, procedures, and controlsReviews and approves treasury transactions within authority limitsEnsures compliance with regulatory requirements and internal treasury policies, procedures, and controlsLeads internal and external audit requestsManages relationships with banks, financial institutions, and service providersPrepare treasury insights and recommendations for senior leadershipAdditional duties as assignedKNOWLEDGE & SKILLS:
High level of financial acumen, including risk awareness and managementDetail-orientation with strong analytical and strategic problem-solving skillsStrong leadership skillsAbility to prioritize tasks and delegate them when appropriateExcellent written and verbal communication skillsProficient in Microsoft Office, especially Excel, Word, and OutlookPAY 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 – $134,613
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.
EDUCATION & EXPERIENCE:
Bachelor's degree in Finance, Accounting, Economics, or related field7+ years of corporate treasury finance experience3-5 years of leadership experienceABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ 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
Read LessCorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Orlando, FL and surrounding areas.
Work from home, and on the road. Monday – Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral sourceUtilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plansProvides assessment, planning, implementation, and evaluation of patient’s progressEvaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectivenessAttends doctors, other providers, home and in some cases, attorney’s visitsAttends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategyConducts home visit for initial evaluationImplements care such as negotiating the delivery of durable medical equipment and nursing servicesThis role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month This role may require overnight travelAdditional duties as requiredKNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environmentAbility to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkersA cost containment background, such as utilization review or managed care is helpfulStrong interpersonal, time management, and organizational skillsComputer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheetsAbility to work both independently and within a team environmentEDUCATION & EXPERIENCE:
Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferredGraduate of accredited school of nursingCurrent RN Licensure in state of operationCertification as a CCM, CIRS, or other Case Management certifications preferredA valid driver’s license, reliable transportation, and ability to travel to assigned locations is requiredPAY 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
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 – Medical Case Managers:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ 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. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Read LessWe are seeking a talented and motivated Content Marketing Associate to join our marketing team. The ideal candidate will understand content strategies and create engaging content that drives brand awareness and customer engagement. This role is for a self-starter who can prioritize projects, collaborate effectively with cross-functional teams, and ensure brand consistency across all marketing collateral.
The Content Marketing Associate will lead content initiatives, manage CorVel’s LinkedIn account, and create marketing materials, including blog posts, case studies, and white papers. Strong communication skills, project management abilities, and eagerness to grow with the company are essential.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Develop and implement a comprehensive content marketing strategy aligned with business goals and the latest industry trends to enhance brand awareness.Create, edit, and manage high-quality content, including blog posts, white papers, case studies, email campaigns, and videos.Manage project workflows, establish deadlines, and ensure timely content delivery.Conduct keyword research and incorporate SEO best practices to improve website performance and increase traffic.Collaborate cross-functionally with digital, design, product, and sales teams to create content that supports and enhances marketing campaigns.Coordinate with external writers, agencies, and other vendors as needed.Additional duties as assigned.KNOWLEDGE & SKILLS:
Exceptional writing, editing, and proofreading skills.Strong understanding of content marketing principles and SEO.Proven track record of creating content that drives traffic and engagement.Experience in Microsoft Office, Canva, Sprout Social (or similar tools), and LinkedIn Advertising.Excellent project management skills with the ability to handle multiple projects simultaneously.Excellent communication, analytical, and time management skills.Ability to work independently and as part of a team in a fast-paced environment.Knowledge of visual design principles and graphic design skills (preferred).Experience with marketing platforms/tools, including WordPress, BrightEdge, Semrush, Trello, JasperAI, Figma, Photoshop, Seismic, and Pardot/Salesforce (preferred).Familiarity with video marketing and multimedia storytelling (preferred).EDUCATION & EXPERIENCE:
Bachelor’s degree in Marketing, Communications, Journalism, or a related field.3+ years of experience in content marketing, content creation, or related roles.Experience in the healthcare or risk management industry (preferred).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: $83,494 – $139,002
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® Company, is a national provider of industry-leading risk management solutions for the workers’ 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
Read LessThe Telehealth Coordinator Lead is responsible for addressing client, patient and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. The Telehealth Coordinator Lead assists in daily guidance of their assigned team.
This is a remote role but requires residency in Arizona or Virginia.
The work schedule for this role is Monday - Friday, with the following shifts available: 1:00 PM - 9:30 PM ET and 4:00 PM - 12:30 AM ET
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Review medical notes, treatment referrals, work status notes, etc. to ensure all necessary referral orders were receivedResponsible for data entry and verification of details in the system for appropriate and timely order submissionProvide quality telephonic and email customer service including inbound and outbound messagesIdentify, analyze, and solve problems outside of standard processesResponsible for research of escalated call concernsAssist in leading and/or managing teamAct as a resource for day-to-day questions for assigned team and as backup to management when not availableMonitor work queue status of visits processed; make recommendations for action plans to improve management as neededAssist with training of new and existing agents as assignedProvide feedback for performance evaluations and performance management as requestedRecommend process changes to improve workflow efficiencies as identifiedMaintain a sense of urgency and provide timely feedback to agentsParticipate in ongoing internal training and learning to obtain updated knowledge of industry and product changesAdditional duties as assignedKNOWLEDGE & SKILLS:
Ability to work on several concurrent tasks in a high-volume, fast-paced, team-oriented environmentExcellent written and verbal communication skillsComputer proficiency and technical aptitude with the ability to utilize Microsoft Office including Outlook and ExcelStrong attention to detail with a high commitment to accuracyEDUCATION & EXPERIENCE:
High School Diploma or GED required3 years of experience in medical data entry and processing preferredPAY 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: $19.24 - $31.04 per hour
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® Company, is a national provider of industry-leading risk management solutions for the workers’ 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
Read LessCorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Oklahoma City, OK.
Work from home, and on the road. Monday – Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral sourceUtilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plansProvides assessment, planning, implementation, and evaluation of patient’s progressEvaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectivenessAttends doctors, other providers, home and in some cases, attorney’s visitsAttends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategyConducts home visit for initial evaluationImplements care such as negotiating the delivery of durable medical equipment and nursing servicesThis role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month This role may require overnight travelAdditional duties as requiredKNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environmentAbility to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkersA cost containment background, such as utilization review or managed care is helpfulStrong interpersonal, time management, and organizational skillsComputer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheetsAbility to work both independently and within a team environmentEDUCATION & EXPERIENCE:
Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferredGraduate of accredited school of nursingCurrent RN Licensure in state of operationCertification as a CCM, CIRS, or other Case Management certifications preferredA valid driver’s license, reliable transportation, and ability to travel to assigned locations is requiredPAY 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
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 – Medical Case Managers:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ 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. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Read LessThe Telehealth Coordinator Lead is responsible for addressing client, patient and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. The Telehealth Coordinator Lead assists in daily guidance of their assigned team.
This is a remote role but requires residency in Arizona or Virginia.
The work schedule for this role is Monday - Friday, with the following shifts available: 1:00 PM - 9:30 PM ET and 4:00 PM - 12:30 AM ET
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Review medical notes, treatment referrals, work status notes, etc. to ensure all necessary referral orders were receivedResponsible for data entry and verification of details in the system for appropriate and timely order submissionProvide quality telephonic and email customer service including inbound and outbound messagesIdentify, analyze, and solve problems outside of standard processesResponsible for research of escalated call concernsAssist in leading and/or managing teamAct as a resource for day-to-day questions for assigned team and as backup to management when not availableMonitor work queue status of visits processed; make recommendations for action plans to improve management as neededAssist with training of new and existing agents as assignedProvide feedback for performance evaluations and performance management as requestedRecommend process changes to improve workflow efficiencies as identifiedMaintain a sense of urgency and provide timely feedback to agentsParticipate in ongoing internal training and learning to obtain updated knowledge of industry and product changesAdditional duties as assignedKNOWLEDGE & SKILLS:
Ability to work on several concurrent tasks in a high-volume, fast-paced, team-oriented environmentExcellent written and verbal communication skillsComputer proficiency and technical aptitude with the ability to utilize Microsoft Office including Outlook and ExcelStrong attention to detail with a high commitment to accuracyEDUCATION & EXPERIENCE:
High School Diploma or GED required3 years of experience in medical data entry and processing preferredPAY 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: $19.24 - $31.04 per hour
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® Company, is a national provider of industry-leading risk management solutions for the workers’ 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
Read LessThe 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’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 an onsite position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral sourceProvide assessment, planning, implementation, and evaluation of patient's progressEvaluate patient's treatment plan for appropriateness, medical necessity, and cost effectivenessUtilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physicianMake medical recommendations of available treatment plans to the payerImplement care such as negotiating and coordinating the delivery of durable medical equipment and nursing servicesDevise cost-effective strategies for medical careRequired to prepare organized reports within a specified timeframeMinimum Productivity Standard is 95% per monthAdditional duties as assignedKNOWLEDGE & SKILLS:
Ability to make independent medical decisions and recommendations to all partiesEffective multi-tasking skills in a high-volume, fast-paced, team-oriented environmentAbility to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkersExcellent written and verbal communication skillsAbility to meet designated deadlinesComputer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheetsStrong interpersonal, time management, and organizational skillsAbility to work both independently and within a team environmentEDUCATION & EXPERIENCE:
Bachelor’s degree required, BSN preferredGraduate of accredited school of nursingCurrent RN Licensure in state of operation3 or more years of recent clinical experience, preferably in rehabilitationURAC 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 hireStrong clinical background in orthopedics, neurology, or rehabilitation preferredStrong cost containment background, such as utilization review or managed care helpfulCertification as a CIRS or CCM preferredPAY 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
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® Company, is a national provider of industry-leading risk management solutions for the workers’ 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
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