Certified Nurse Life Care Planner

The Certified Nurse Life Care Planner develops reports based upon  treatment history and medical treatment  guidelines. The report outlines the future medical and non-medical expenses of individuals workers’ compensation or other liability claims. The Certified Nurse Life Care Planner will rely on their medical knowledge to evaluate the patient’s treatment plan for future medical treatment needs supporting the goals of the Life Care Plan /Medicare Services department, and of CorVel.  Work from home possible.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Organize medical records into chorological order.
• Assess, review and summarize medical records in a clear, concise manner.
• Perform evidenced based medical research regarding unfamiliar diagnoses and future medical needs.
• Ability to utilize medical and nursing knowledge to compile comprehensive list of necessary future medical expenses.
• Assign CPT coding and pricing to all future medical expenses.
• Assign NDC coding and pricing to all future medication pricing.
• Clarify need for Rated Age and obtain or calculate life expectancy.
• Calculate lifetime pricing utilizing state fee schedule or “usual & customary” charges.
• Collaborate with defense and plaintiff counsel in effort to obtain necessary signed releases from claimants.
• May also assist with preparation of Medicare Set-Aside allocations.
• Required to read extensively. 
• Required to prepare organized reports within a specified timeframe. 
• Required to use telephone extensively. 
• Minimum Productivity Standard is 95%
• 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 deadlines.
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
• Strong interpersonal, time management and organizational skills.
• Ability to work both independently and within a team environment.

 EDUCATION & EXPERIENCE:

• Certification as a CLCP or CNLCP required.
• Certification as a Medicare Secondary Payer consultant preferred
• Graduate of accredited school of nursing, BSN desirable.
• Current RN Licensure in state of operation.
• 3 or more years’ of recent clinical experience, preferably in rehabilitation.
• Strong clinical background in orthopedics, neurology, or rehabilitation preferred.
• Strong cost containment background, such as utilization review or managed care helpful.

PAY 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:  $58,282 – $93,870

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.

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Salary : $58,282 - $93,870