The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan for medical appropriateness based on their physical and medical status. The Telephonic Case Manager must be able to discuss the patient’s medical and physical conditions with the treating physicians, along with discussing/ recommending alternate treatment plans for the patient. The Telephonic Case Manager must have the ability to explain medical conditions and treatment plans to the patient, family members and adjuster; supporting the goals of the Case Management department, and of CorVel.
This is a remote role.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Provides 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 effectivenessAbility to utilize their medical and nursing knowledge to allow the case manager to discuss the current treatment plan with the physician and discuss alternate treatment plansAbility to make medical recommendations of available treatment plans to the payerImplement care such as negotiating and coordinating the delivery of durable medical equipment and nursing servicesAbility to make independent medical decisions and recommendations to all partiesDevise cost-effective strategies for medical careRequired to read extensivelyRequired to prepare organized reports within a specified timeframeRequired to use telephone extensivelyMinimum Productivity Standard is 95% per monthRequires regular and consistent attendanceComplies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)Additional duties as requiredKNOWLEDGE & SKILLS:
Effective 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 desirableGraduate 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: $65,436 - $98,982
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 Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.
This position will be in our Hartford, CT office during training, and once fully trained transition to a hybrid work arrangement.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
KNOWLEDGE & SKILLS:
Concise and effective verbal and written communication skillsAbility to interface with claims adjusters, attorneys, physicians and their representatives, advisors/clients, and co-workersAbility to effectively promote all Professional Review products with attorneys, claims examiners, customers and managementStrong ability to effectively negotiate provider feesMust be proficient with Microsoft Office applicationsKnowledge of worker's compensation claims preferredEDUCATION & EXPERIENCE:
Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of 4 years clinical experienceA minimum of an Associate Degree in Nursing as well as have a thorough knowledge of both C.P.T. and I.C.D.9 codes preferredMedical bill auditing experience preferredExperience in the clinical areas of O.R., I.C.U., C.C.U., E.R., and orthopedics preferredProspective, concurrent and retrospective utilization review experience 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: $59,681 – $83,551
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-Hybrid
Read LessThe Provider Relations Specialist assist injured workers, claims examiners, attorneys, providers, etc. in locating providers within the medical provider network (MPN), verifying provider inclusion in an MPN and scheduling appointments upon request for the injured worker. This position includes a moderate volume of inbound calls and a high volume of outbound calls. This role is responsible for documenting bill review errors to improve team error rate trend. The Provider Relations Specialist acts as a positive and professional representative of our CorVel family. The role ensures compliance with company best practice standards while also enabling a consistent, timely delivery of our quality services.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Receive incoming calls, emails and faxes from the Medical Access Assistant lineCommunicate clearly and professionally with providers and other stakeholders via phone and emailProvide excellent customer service and act as network liaison to injured workers, claims examiners and providersUnderstand Workers Compensation guidelines and various client contract language to interpret and support our bill reviewNavigate the bill review application to obtain accurate information for the callersTriage requests and ensure they are completed within required timeframesLocate providers of a particular specialty within a designated area as requested by the callerVerify providers are within a specified network and/or have a contract with CorVelSchedule appointments for injured workers upon requestAssist callers in navigating our website directoryCall providers to verify demographic information (address, phone number, WC acceptance, etc)Answer questions from callers regarding their MPN; transferring the caller to the appropriate department if we are unable to assistWork with the Network Relations team to correct any discrepancies in the databaseCommunicate to the contract developers if there is a need for certain specialties in a geographic areaUnderstand CorVel EORs as well as client-specific nuancesAnswer basic to complex State WC fee schedule and/or billing questions on processed medical bills covering regular as well as facility bill typesUnderstand and be able to properly explain provider contracted rates, and carve-outs applied to medical billsAdditional duties as assignedKNOWLEDGE & SKILLS:
Excellent oral and written communication skillsWorking knowledge of Microsoft Office (Word, Excel)Strong knowledge of fee schedule and network contractsStrong customer service skills and experienceStrong organizational skillsAbility to work independently and in a team environmentEffective quantitative, analytical and interpretive skillsStrong interpersonal, time management and analytical skillsAbility to control phone calls to ensure timely resolution and lower provider hold timesEDUCATION & EXPERIENCE:
Associate’s degree preferred or comparable Workers Comp experienceKnowledge of assigned State’s Workers’ Comp regulationsCPC and/or expert in bill review analysis preferredCall center experience a plus but not 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: $18.80 - $30.34 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 CareIQ Physical Therapy Care Coordinator I provides administrative customer service and file management assistance to claimants, providers, claims professionals, and case managers regarding new and ongoing ancillary healthcare services. Utilizing proprietary systems and knowledge from training, a CareIQ Physical Therapy Care Coordinator I will provide excellent telephonic and written customer service to both inbound and outbound customers. A CareIQ Physical Therapy Care Coordinator I operates with a high focus on accuracy, urgency and communication to ensure that services are completed on schedule and without interruption.
This is a remote role, candidates must reside in Eastern or Central time zone.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Provides telephonic customer service in an inbound and outbound high-volume call-center environment.Completes accurate data review and entry.Able to learn and operate corporate proprietary systems.Requests and reviews treatment and appointment documentation to verify completion and accuracy.Completes administrative review of claim authorization, referral orders, appointment notes and reports to ensure services that have been completed, ordered and authorized are in alignment.Ensures all case stakeholders are updated regularly.Types and proofreads reports and correspondence via email and management systems.Transcribes correspondence/reports from dictation.Uses problem solving and critical thinking skills to ensure daily scheduling challenges do not cause delays in securing appointments.Requires regular and consistent attendance.Meets departmental production and quality performance expectations.Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).Additional duties as required.KNOWLEDGE & SKILLS:
Process oriented and effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment.Excellent written and verbal communication skills.Ability to meet designated deadlinesComputer proficiency and technical aptitude with the ability to utilize MS Office and Proprietary SystemsStrong interpersonal, time management and organizational skillsAbility to maintain a professional and courteous demeanor that sets tone for complex telephonic conversations.Ability to work both independently and within a team environment.EDUCATION/EXPERIENCE:
High School diplomaPrior work experience in a detail oriented customer service environmentPAY 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: $15.26 - $23.28 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 IME Scheduling Coordinator is responsible for scheduling and coordinating appointments with clients, IME providers/physicians and patients. This position ensures client-specific requirements for provider specialty and location are met and that all ancillary services are coordinated.
This is a full time, in-office position for the Fredericksburg, VA office.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Schedules and confirms appointment dates and times with physicians' officesCommunicates with clients/customers regarding appointment scheduling, physician CV's, appointment changes, missed appointments/cancellations, and receipt of medical records and/or imagesPrepares and sends exam notification letters dailyCoordinates with the client to obtain required medical records prior to examinationTimely chart preparation by ensuring all records required are included, creates a cover letter detailing specific client questions, issues, and service requests and routes to the provider and/or to the exam location prior to examinationCommunicates with physicians, clients and/or patients regarding any schedule changes. Responsible for submitting client invoice and/or issue to accounting if charges are incurredCoordinates ancillary services such as transportation and translation, when needed. Ensures the appropriate steps are taken to cancel/reschedule services upon appointment change or cancellationAnswers incoming calls and emails; handle inquiries appropriately in a prompt, friendly and professional mannerProcesses and maintains spreadsheets for provider payments utilizing CorVel internal programsSubmits invoicing for IME/peer reportingOrganizes and maintains document storage and record keeping in reporting systemFollows strict state guidelines regarding forms and timelinesAdditional duties as assignedKNOWLEDGE & SKILLS:
Excellent written and verbal communication skillsAbility to work on several concurrent tasks, meet deadlines, and prioritize workload with minimal directionStrong interpersonal, time management, and organizational skills Comfortable interacting with all levels of staff as well as individuals outside of the organizationAbility to work both independently and within a team environmentExcellent verbal and written communication skillsExceptional decision-making and problem-solving abilitiesAbility to maintain confidentialityProficient in Microsoft Office (Excel, Word, and Outlook)EDUCATION & EXPERIENCE:
Minimum of 3 years’ experience in administrative support rolesHigh school diploma or equivalent, college degree preferred or equivalent combination of education and experience Experience in a medical office 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: $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
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 publically 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-Onsite
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 a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides 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 effectivenessAbility to utilize their medical and nursing knowledge to allow the case manager to discuss the current treatment plan with the physician and discuss alternate treatment plansAbility to make medical recommendations of available treatment plans to the payerImplement care such as negotiating and coordinating the delivery of durable medical equipment and nursing servicesAbility to make independent medical decisions and recommendations to all partiesDevise cost-effective strategies for medical careRequired to prepare organized reports within a specified timeframeMinimum Productivity Standard is 95% per monthAdditional duties as requiredKNOWLEDGE & SKILLS:
Effective 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: $62,306 – $93,123
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 Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and/or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plansUtilize clinical and/or technical expertise to address the provision of medical care and identify inappropriate billing practices and errors, such as: duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc. Document work and final conclusions in designated computer programAdditional duties as assignedKNOWLEDGE & SKILLS:
Concise and effective verbal and written communication skills Ability to interface with claims adjusters, attorneys, physicians and their representatives, advisors/clients, and co-workersAbility to effectively promote all Professional Review products with attorneys, claims examiners, customers and managementStrong ability to effectively negotiate provider feesMust be proficient with Microsoft Office applicationsKnowledge of worker's compensation claims preferredEDUCATION & EXPERIENCE:
Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of 4 years clinical experienceA minimum of an Associate Degree in Nursing as well as have a thorough knowledge of both C.P.T. and I.C.D.9 codes preferredMedical bill auditing experience preferredExperience in the clinical areas of O.R., I.C.U., C.C.U., E.R., and orthopedics preferredProspective, concurrent and retrospective utilization review experience 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: $51,807 – $83,551
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 Administrative Assistant performs diverse administrative responsibilities for various levels of staff within the company. This position coordinates various projects and prepares reports and information which may be of a highly confidential and critical nature, supporting the goals of local management, and of CorVel.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Answers phone calls Handles inquiries appropriatelyMay open, read, prioritize, route and distribute incoming mail or other materialsMay coordinate, schedule, and maintain event calendars, including travel arrangements, customer appointments, meetings, conference calls, and room reservationsOrganizes and maintains document storageMay create and prepare presentations, memos, reports, correspondence and miscellaneous projectsMay assist in basic accounting functionsAdditional projects and duties as assignedKNOWLEDGE & SKILLS:
Excellent written and verbal communication skillsAbility to work on several concurrent tasks and prioritize workload with minimal directionAbility to identify, analyze and solve problemsIntermediate ability to utilize Microsoft applicationsStrong interpersonal, time management and organizational skillsAbility to work both independently and within a team environmentEDUCATION & EXPERIENCE:
High school diploma or equivalent, college degree preferred1 – 2 years’ experience in administrative support rolesPAY 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 - $19.90 per hour
A list of our benefit offerings can be found on our CorVel website:
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 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 Quality Assurance Nurse is responsible for case management quality assurance and mentorship of operations staff, providing tools and calibrating processes, while ensuring consistent delivery of CorVel’s case management services.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Develop, implement, and provide ongoing quality assurance calibration of processes as well as a case management mentoring, both managed and delivered at the operational levelEducate and equip operations with performance measurement and reporting tools that can be used to objectively measure and grow operationsProvide national account and regulatory quality oversightAs applicable, provide oversight and management of URAC compliance and renewalsWork with executive, general and case management department management to ensure the case management department successfully implemented and is adhering to CorVel standards (including quality assurance, reporting, and management processes)Work closely with new hires to ensure consistent and full integration/training of all case management managers to CorVel standards as well as training for system usage pertaining to case management and reportingIdentify developmental needs and and participate in training of case management leadership, including the training/re-training of all offices on standards and procedures, and usages of the CorVel case management and reporting systemDevelop, run and interpret management reports to ensure the case management operations are utilizing the tools available to manage compliance of services delivery within company standardsFacilitate peer-to-peer quality reviews to ensure delivery of quality case managementReview results and outcomes with general management and case management leadership and develop action plans where warrantedMake recommendations in collaboration with field operations to ensure actions toward improvement are identifiedDevelop and oversee case management manager mentor program to facilitate the onboarding of new supervision and management to equip field with the tools for compliance and consistency of CorVel standards and proceduresImplementation, oversight and communication of regulatory requirements within case management services to include, state, federal and URACIdentify trends and recommend action plans to management for continuous process improvementAbility to travel up to fifty percent of the time Additional duties as assignedKNOWLEDGE & SKILLS:
Excellent oral and written communication skillsPC literate, including Microsoft Office (Word, Excel)Strong knowledge of clinical and case management processesStrong knowledge and experience in quality assurance and training programsProficient in identifying case management office improvement opportunities and communicating and implementing solutionsAbility to remain poised in stressful situations and communicate using diplomacyAbility to manage multiple complex projects and competing priorities while working under pressure to meet deadlines and maintaining strong customer service orientationEffective quantitative and analytical skillsMust have strong organizational skillsAbility to work independently or in a team environment while functioning as an educator rather than an auditorKnowledge of the entire claims administration, case management and cost containment solution as applicable to third party administrator operationsEDUCATION & EXPERIENCE:
Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)3 or more years of recent clinical experience, preferably in rehabilitationNational certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferredFour year degree from an accredited college or university preferredCertified Trainer and/or Quality Assurance distinction preferredFour (4) years of case management experience preferred or equivalent experiencePrior quality assurance and/or training a plusCurrent RN licensurePAY 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: $59,681 – $96,123
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 Administrative Assistant performs diverse administrative responsibilities for various levels of staff within the company. This position coordinates various projects and prepares reports and information which may be of a highly confidential and critical nature, supporting the goals of local management, and of CorVel.
This is an onsite role reporting to Albuquerque, NM.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Answers phone calls Handles inquiries appropriatelyMay open, read, prioritize, route and distribute incoming mail or other materialsMay coordinate, schedule, and maintain event calendars, including travel arrangements, customer appointments, meetings, conference calls, and room reservationsOrganizes and maintains document storageMay create and prepare presentations, memos, reports, correspondence and miscellaneous projectsMay assist in basic accounting functionsRequires regular and consistent attendance, being reliable, responsible, and dependable and fulfilling obligationsComplies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)Additional projects and duties as assignedKNOWLEDGE & SKILLS:
Excellent written and verbal communication skillsAbility to work on several concurrent tasks and prioritize workload with minimal directionAbility to identify, analyze and solve problemsIntermediate ability to utilize Microsoft applicationsStrong interpersonal, time management and organizational skillsAbility to work both independently and within a team environmentEDUCATION & EXPERIENCE:
High school diploma or equivalent, college degree preferred1 – 2 years’ experience in administrative support rolesPAY 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 - $19.90 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 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-Onsite
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