CA UR Case Manager I
Company: CorVel Healthcare Corporation
Location: Rancho Cucamonga
Posted on: February 16, 2026
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Job Description:
Job Description Job Description The Utilization Review Case
Manager gathers demographic and clinical information on
prospective, concurrent and retrospective in-patient admissions and
out-patient treatment, certifies the medical necessity and assigns
an appropriate length of stay while supporting the goals of the
Case Management department and of CorVel. This is a remote
position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identifies the
necessity of the review process and communicates issues of concern
to the appropriate claims staff/customer Collects data and analyzes
information to make decisions regarding certification or denial of
treatment Documents all work in the appropriate manner Promotes
utilization review services with stakeholders Complies with all
safety rules and regulations during work hours in conjunction with
the Injury and Illness Prevention Program (IIPP) Additional duties
as assigned KNOWLEDGE & SKILLS: Must have thorough knowledge of
both CPT and ICD coding Ability to interface with claims staff,
attorneys, physicians and their representatives, as well as
advisors/clients and coworkers Effective organization skills in a
high-volume, fast-paced environment Strong time management skills
with the ability to meet designated deadlines Excellent written and
verbal communication skills Ability to work both independently and
within a team environment Strong interpersonal skills Ability to
utilize Microsoft Office including Excel spreadsheets Knowledge of
the workers’ compensation claims process preferred Knowledge of
outpatient utilization review preferred EDUCATION & EXPERIENCE:
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 Prospective,
concurrent, and retrospective utilization review experience
preferred Experience in the clinical areas of OR, ICU, CCU, ER
and/or orthopedics preferred 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: $29.95 - $44.77 per
hour 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. LI-Remote
Keywords: CorVel Healthcare Corporation, Victorville , CA UR Case Manager I, Healthcare , Rancho Cucamonga, California
