Workers Compensation UR Nurse
Job Summary
To enhance the quality and effectiveness of care, the full-time Workers Compensation UR Nurse will assess medical necessity for provider requests, coordinate information among stakeholders, and participate in compliance audits, all while working remotely within the Pacific Standard Time zone.
Key responsibilities
- Perform comprehensive evaluations of medical data to assess medical necessity
- Coordinate communication between injured workers, providers, and insurance representatives regarding care plans
- Participate in annual audits to ensure compliance with established guidelines
Required qualifications
- Graduate of an accredited nursing, chiropractic, or related medical program (RN, DC, PT, DPT, LVN, OT, or LAc)
- Valid state-specific license in good standing with no restrictions
- Experience in utilization review or workers' compensation is highly preferred
- Strong organizational skills and ability to work independently
- High comfort level with computers and software applications (MS Word, MS Excel, Email)
Complete Job Description
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