2 medical case manager i jobs found in Glen Allen, VA

The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and jurisdictional guidance to claims staff...

The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case basis using nationally recognized standards of care to facilitate treatment goals.  The position is an   essential role, requiring the ability to work a variety of shifts to cover 24/7 duties including evenings, nights, weekends and holidays. This role requires internet upload and download speeds of at least 80Mbps. This is a remote role reporting to our Glen Allen, VA office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides telephonic assessment and makes treatment recommendation of injured workers using national telephonic triage protocols Recommends appropriate provider, based on state law and employer’s preferred provider network requirements Educates caller on self-care instructions in accordance with national telephonic triage protocols Communicates plan of care to customer contacts and/or supervisor Evaluates injured worker’s response to first aid...