Medical Case Manager

Medical Case Manager I – Cor Vel Corporation

Join to apply for the Medical Case Manager I role at Cor Vel Corporation

Cor Vel Corporation is hiring a caring, self‑motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Vermont. Work from home, and on the road during 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, collaborating with the patient, their family, medical providers, and other team members. This is a heavy local‑travel role responsible for a caseload of workers‑compensation injured workers within a defined jurisdiction.

The selected candidate must be a Vermont‑licensed RN; CCM preferred.

• Provide in‑person and telephonic Medical Case Management to individuals, involving the patient, physician, other health‑care providers, the employer, and the referral source.
• Utilize medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate plans.
• Provide assessment, planning, implementation, and evaluation of patient’s progress.
• Evaluate patient’s treatment plan for appropriateness, medical necessity, and cost‑effectiveness.
• Attend doctors, other providers, home and, in some cases, attorney visits.
• Attend hospital and/or long‑term facility discharge planning conferences to determine appropriateness of care and develop an effective long‑term care strategy.
• Conduct home visits for initial evaluation.
• Negotiate delivery of durable medical equipment and nursing services.
• Travel reasonably; the employee must be available for local travel up to approximately 60% of the work week/month, and may require overnight travel.
• Perform additional duties as required.

• Effective communication and multi‑tasking skills in a high‑volume, fast‑paced, team‑oriented environment.
• Ability to meet with patients, physicians, other healthcare providers, attorneys, advisors/clients, and coworkers.
• Background in cost containment, such as utilization review or managed care, is helpful.
• Strong interpersonal, time‑management, and organizational skills.
• Computer proficiency and technical aptitude with Microsoft Office, including Excel.
• Ability to work independently and within a team environment.

• Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
• Graduate of an accredited school of nursing.
• Current RN licensure in the state of operation.
• Certification as a CCM, CIRS, or other case‑management certification preferred.
• A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required.

Pay Range: $62,306 - $93,123. Cor Vel uses a market‑based approach; ranges may vary depending on location and qualifications. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level based on assessment during the interview process.

Comprehensive benefits include Medical (HDHP) with 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, 401(k) with Roth 401(k). Full‑time regular employees receive paid time off, a technology stipend, and bonus eligibility.

Identifiers:
The job may be posted for up to one year from the posting date or until filled, whichever comes first.

Cor Vel, a certified Great Place to Work® Company, is a national provider of risk‑management solutions for workers’ compensation, auto, health, and disability management. Founded in 1987, Cor Vel is publicly traded on the NASDAQ. Our culture is rooted in Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE‑IT!).

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