UR Case Manager - Flex
$29.95/h-$44.77/h
CorVel Corporationa day ago
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HybridPart-timeMid
Summary
CorVel Corporation is seeking a UR Case Manager - Flex to join their team in Boxborough, MA. The role involves gathering demographic and clinical information for in-patient admissions and out-patient treatment, certifying medical necessity, and supporting the goals of the Case Management department.
About the Role
As a UR Case Manager - Flex, you will be responsible for identifying the necessity of the review process, collecting and analyzing data for treatment certification or denial, documenting work appropriately, promoting utilization review services, and complying with safety regulations. This is a hybrid and per diem role.
About You
Required:
- Graduate of accredited school of nursing with an associate’s degree, Bachelor of Science degree or Bachelor of Science in Nursing.
- Current Nursing licensure in the state of operation required; RN is required unless local state regulations permit LVN/LPN.
- 4 or more years of recent clinical experience.
Preferred:
- Prospective, concurrent, and retrospective utilization review experience.
- Experience in the clinical areas of OR, ICU, CCU, ER and/or orthopedics.
- Knowledge of the workers’ compensation claims process.
- Knowledge of outpatient utilization review.
Benefits
- Comprehensive benefits package including 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 Corporation
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. Our mission is to take care of people and business with risk management solutions that deliver better outcomes for our partners. We are publicly traded (NASDAQ:CRVL), and annual revenues exceed $896 million. Our continuous investments in technology, infrastructure, and human capital allow us to offer local customer service backed by national resources.
Boxborough, MA