Jobs in the United States

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Added 2 mins ago
L
Full Time - Merchandising Service Associate - Day
Lowes
Baton Rouge, LA
- Full-time
As a Lowe's Merchandising Services Associate, you are a key connection point between Merchandising and Store Operations, allowing us to deliver a great shopping experience in every Lowe's…
Added 4 mins ago
Retail Store Manager-maurices
maurices
Michigan City, IN
Being a maurices full-time retail store manager means that you’ll get the opportunity to lead a team of talented associates to create an unforgettable experience that leaves our customers…
Added 8 mins ago
HL
Retail Key Carrier Coordinator
Homegoods LLC
North Olmsted, OH
- $15.5 to $16 USD / hour
Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral…
Added 10 mins ago
VI
Infusion Insurance Specialist
Vivo Infusion
Remote, United States
- $24 to $26 USD / hour
Private Equity for the Greater Good - Company-wide Employee Ownership Program
Added 11 mins ago
Residential Treatment Facility Manager
Arc of Anchorage.
Anchorage, AK
In alignment with The Arc of Anchorage’s mission, vision, and core values, the Residential Treatment Facility Manager is responsible for the leadership, coordination, and operational…
Added 15 mins ago
Maintenance Technician III
Federal Express Corporation
Cedar Rapids, IA
Certificates in Industrial Maintenance/Mechatronics, electrical or mechanical trade or related area and an associate degree in a related area preferred.
Added 18 mins ago
A
Facilities Manager
Aerotek
Fairfield, CA
- $120,000 to $130,000 USD / year
Job Title: Facilities ManagerJob DescriptionThe Facilities Manager oversees building operations, maintenance programs, vendor relationships, capital projects, and facility improvements for…
Added 19 mins ago
A
Sales & Service Lead (Full-Time) - ABQ Uptown
ALO
Albuquerque, NM
- $19 to $23 USD / hour
- Full-time
Partner with Operations & Visual Manager to manage reporting, budgets, expenses, inventory control, supplies, vendor relationships, technology, and facilities to ensure maintained and…
Added 27 mins ago
A
Customer Accounts Manager
Aaron's
Auburn, WA
- $20 to $21 USD / hour
…wide variety of responsibilities as directed by the General…
Added 27 mins ago
A
Customer Accounts Advisor
Aaron's
Las Vegas, NV
- $14.25 to $15 USD / hour
Employee Assistance Program - Free access to mental health resources life coaching and more for you and your covered family members.
Added 27 mins ago
A
Sales Manager
Aaron's
Aberdeen, WA
- $19.25 to $20.25 USD / hour
Employee Assistance Program - Free access to mental health resources life coaching and more for you and your covered family members.
Added 29 mins ago
Director of Financial Planning - Delos
First United Bank & Trust
Dallas, TX
Monitor and report on Wealth Advisor adherence to the planning program, identifying gaps and working with the Program Manager on remediation
Added 33 mins ago
Sr Program Manager
Aerospace
Clearwater, FL
As a Program Manager, Aerospace Defense and Space here at Honeywell, you will lead and manage defense munition programs within the aerospace sector, ensuring successful project execution…
Added 33 mins ago
Sr Program Manager
Aerospace
Clearwater, FL
As a Program Manager, Aerospace Defense and Space here at Honeywell, you will lead and manage defense munition programs within the aerospace sector, ensuring successful project execution…
Added 33 mins ago
Sr Program Manager
Aerospace
Clearwater, FL
As a Program Manager, Aerospace Defense and Space here at Honeywell, you will lead and manage defense munition programs within the aerospace sector, ensuring successful project execution…
Added 36 mins ago
CO
Veterinary Technician
City of Everett
Everett, WA
- $5,220 to $6,342 USD / month
The Veterinary Technician will work under the direction of the Veterinary Manager or attending Veterinarian in all phases of shelter veterinary care, including, but not limited to, surgery…
Added 37 mins ago
MS
Staff Nurse- Operating Room - Mount Sinai Hospital - Full-Time - 7AM-5:30PM
Mount Sinai Health Systems
New York, NY
- Full-time
Graduation from an accredited Nursing program. Bachelor’s Degree in Nursing. (BSN) Associate’s Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a gradu
Added 38 mins ago
HVAC Controls Project Manager
Johnson Controls Inc.
United States
As an HVAC Controls Project Manager, you will serve as the on-site technical and project leader for assigned HVAC and Building Automation projects. You will guide work from kickoff through…
Added 40 mins ago
MO
Loss Prevention Associate II
Marshalls of CA LLC
Studio City, CA
- $18.42 to $19.42 USD / hour
Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral…
Added 40 mins ago
MO
Loss Prevention Associate II
Marshalls of CA LLC
Burbank, CA
- $16.9 to $18.6 USD / hour
Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral…
Added 40 mins ago
TT
Full Time Administrative Coordinator
The TJX Companies Inc
Boardman, OH
- $14.5 to $15 USD / hour
- Full-time
Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral…
Added 40 mins ago
Assistant Store Manager
Homegoods LLC
Atlanta, GA
Benefits include Associate discount; 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long-term disability; paid holidays/vacation /sick/bereavement/parental…
Added 42 mins ago
M
Workbased Learning Specialist
MTC
Waimanalo, HI
- $26.05 USD / hour
Coordinate scheduling of students for WBL is processed in a timely manner, and work closely with career training manager to ensure program goals are achieved.
Added 42 mins ago
Supervisory Store Associate
Defense Commissary Agency
Kaneohe, HI
Summary This Supervisory Store Associate serves as the first line supervisor and manager of the Front-End Department of a Commissary store. They are responsible for all aspects of planning,…
Added 42 mins ago
Supervisory Store Associate
Defense Commissary Agency
Kaneohe, HI
Summary This position serves as the first line supervisor and manager of the Front-End Department of a Commissary store. The incumbent is responsible for all aspects of planning,…

CorVel Brand

CA UR Case Manager II

Folsom, CA, United States

Remote

$32.18 to $48.68 USD / hour

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Job details

Pay: $32.18 to $48.68 USD / hour
Workplace: Remote
Posting language: English
Posted: Nov 2, 2026

Original 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: $32.18 - $48.68 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.

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More about this job

Skills

Case management
CPT
Time management
Communication skills
Interpersonal skills
Microsoft Office
Microsoft Excel
LPN

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