SantaFeRecruiter Since 2001
the smart solution for Santa Fe jobs

Medical Case Manager II - Bilingual

Company: CorVel Corporation
Location: Santa Fe
Posted on: August 13, 2019

Job Description:

JOB SUMMARY:Seeking BILINGUAL Medical Case Manager in the Albuquerque area. The service area for this position is the ENTIRE STATE OF NM. This will require regular travel. The Medical Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals This role may be worked remotely. Do you have experience in Orthopedics, Rehab/Neuro, ED, ICU, Occupational Health or Workers' Compensation? CorVel Corporation is the place for you. We are a rapidly growing managed care company working with Workers' Compensation clients.This role will travel and manage a caseload of Workers Compensation cases for a Corvel office. Corvel is looking for self-motivated, energetic and independent nurses to fill case manager positions to be a part of our professional team. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:Provides medical case management to individuals through communications with the patient, the physician, other health care providers, the employer and the referral source.Makes recommendations regarding health care resources.Develops case management plans and establishes case management goals. Provides assessment, planning, implementation and evaluation of patients progress.Evaluates patients treatment plan for appropriateness, medical necessity, and cost effectiveness.Implements care such as negotiation the delivery of durable medical equipment and nursing services. Devises cost-effective strategies for medical care.Attends doctors, other providers, and attorneys visits. Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.Assesses rehabilitation facilities for appropriateness.Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.Performs or manages architectural assessment of patients home.Researches medical and community resources for medical and community resources for patients with catastrophic or chronic diagnoses, such as but not limited to, AIDS, cancer, spinal cord injury, diabetes, head injury, back injury, hand injury, burns, et cetera. Requires communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mailHeavy travel required; valid drivers license and good driving record with no traffic violations required.Maintains Billable Standard of 1.8 to 2.2 hours per case, per week, working with an average of 18-24 FCE cases per month.Requires regular and consistent attendance.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:Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment.Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers.Excellent written and verbal communication skills.Ability to meet designated deadlinesComputer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheetsAbility to drive, maneuver, navigate on a continual or almost continual basisStrong interpersonal, time management and organizational skills.Ability to work both independently and within a team environment.EDUCATION/EXPERIENCE:Graduate of accredited school of nursing, BSN desirableCurrent RN Licensure in state of operationValid drivers license and good driving record in compliance with CorVels policies3 or more years of recent clinical experience, preferably in rehabilitation.CCM required to be obtained within 3 years of hire, if no nationally recognized accreditation is present at time of hire.Strong clinical background in orthopedics, neurology, or rehabilitation preferred.Strong cost containment background, such as utilization review or managed care helpful.Certification as a CIRS or CCM preferred.Application Instructions:We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their race, color, age, sex, gender, religion, national origin, ancestry, citizenship status, physical or mental disability, military service, veteran status or any other characteristic protected by applicable federal, state or local law.We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this application or to participate in an interview, please let us know.Note to Employment Agencies: Please do not forward agency resumes. CorVel Corporation is not responsible for any fees related to unsolicited resumes. Please be aware that CorVel generally does not review all applications/resumes submitted in response to job openings posted on the Internet because of the large volume of responses#cb *mon*

Keywords: CorVel Corporation, Santa Fe , Medical Case Manager II - Bilingual, Executive , Santa Fe, New Mexico

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Executive VP of Business Development - Own a Franchise
Description: Executive VP of Business Development:
Company: CMP.jobs
Location: Albuquerque
Posted on: 08/17/2019

Assistant Facilities Manager with Security Clearance
Description: Description Job Requisition: Assistant Facilities Manager Job Description: The Defense Group at Leidos currently has an opening for an Assistant Facilities Manager to work in our Albuquerque, New Mexico (more...)
Company: Leidos
Location: Albuquerque
Posted on: 08/17/2019

MEDICAL DIRECTOR PRESBYTERIAN HEALTH PLAN
Description: SunIRef:it MEDICAL DIRECTOR PRESBYTERIAN HEALTH PLAN Presbyterian Healthcare Services 233 reviews - Albuquerque, NM 87106 Presbyterian Healthcare Services 233 reviews Read what people are saying about (more...)
Company: Presbyterian Healthcare Services
Location: Albuquerque
Posted on: 08/17/2019


RN OUTPATIENT CARE MANAGER - OB/GYN Presbyterian Medical Group, Rio Rancho, New Mexico
Description: Type of Opportunity: Per Required Need FTE: 0.001000 Exempt: No Work Schedule: Varied Days and Hours Education: Associate Degree in Nursing BSN completion within 5 years of hire Degree from accredited (more...)
Company: Presbyterian Healthcare Services
Location: Rio Rancho
Posted on: 08/17/2019

Assistant Store Manager - Part Time
Description: OverviewChristopher Banks is looking for a Part-Time Assistant Store Manager for our location at the Cottonwood Mall. The Assistant Store Manager PT is responsible for supporting the Store Manager (more...)
Company: Christopher & Banks Corporation
Location: Albuquerque
Posted on: 08/17/2019

Program Manager - Albuquerque
Description: Overview Peraton is expanding its presence across the Space enterprise bringing advanced concepts, space and cyber solutions, enterprise systems and services delivery, and integrated operations to advance (more...)
Company: Peraton
Location: Albuquerque
Posted on: 08/17/2019

Whole Life Systems Engineering Manager with Security Clearance
Description: Raytheon Albuquerque, part of Missile Systems MS , provides comprehensive expertise in high power electromagnetics HPEM pulsed power engineering, diagnostics and effects testing radio frequency (more...)
Company: Raytheon
Location: Albuquerque
Posted on: 08/17/2019

Customer Support Manager
Description: Save Education - Bachelor's Degree Skills - Leadership Experience - Time Management - Management Experience - Project Management - Team Management We are looking for Manager that is able to expert subject (more...)
Company: HP
Location: Rio Rancho
Posted on: 08/18/2019

Sr. Manager IM2 Service Center
Description: A Sr. IT Manager in Albuquerque, NM, is currently available at Belcan. This is a full-time, long-term position, with benefits. To be considered for this role, you will need a Bachelor s Degree 10 years (more...)
Company: Belcan Corporation
Location: Albuquerque
Posted on: 08/17/2019

RN - MANAGER OF NURSING - FAMILY BIRTH CENTER Presbyterian Santa Fe Medical Center, Santa Fe, Ne
Description: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Varied Days and Hours Education: Associate Degree in Nursing BSN completion within 5 years of hire Degree from accredited academic nursing program (more...)
Company: Presbyterian Healthcare Services
Location: Santa Fe
Posted on: 08/17/2019

Log In or Create An Account

Get the latest New Mexico jobs by following @recnetNM on Twitter!

Santa Fe RSS job feeds