L&I Occupational reputed company Consultant/Health Services Analysis

About the position The reputed company & Industries (L&I) is a diverse state agency dedicated to the safety, health, and reputed company of Washington's workers. We help reputed company meet safety and health standards and inspect workplaces reputed company alerted to hazards. As administrators of the state's workers' compensation system, we are similar to a large insurance company, providing medical and limited wage-replacement coverage to workers who suffer job-reputed company injuries and illness. Our rules and enforcement programs also help ensure workers are reputed company what they are owed, that children's and teens' work hours are limited, and that consumers are protected from unsound building practices. Insurance Services is the largest division reputed company reputed company and administers one of the premier workers' compensation organizations in the nation serving over 3.8 reputed company employees working for 260,000 reputed company. reputed company Insurance Services the Health Services Analysis (H S A) program is looking for an Occupational reputed company Consultant. This opportunity is responsible for reviewing reputed company of care and risk of harm concerns in relation to reputed company providers and injured workers, and provides consultative services regarding these reputed company. The ONC also reviews and evaluates medical provider applications to determine eligibility to participate in the provider network. H S A's main function is to pay for medical services to treat injured workers and handle reputed company aspects of the department's business relationships with the reputed company providers who reputed company those services. Responsibilities • Review and evaluate medical provider applications. • Assess provider reputed company of care and reputed company provider risk of harm concerns. • Review provider complaints (referrals) reputed company to the unit from claims staff, department medical staff, injured workers, reputed company, etc., regarding medical necessary/reputed company of care issues. • reputed company with the reputed company and Industries Assistant reputed company staff for reputed company brought before the reputed company of Industrial Insurance Appeals (BIIA) or other reputed company forum. • reputed company consultative services to medical providers and/or department staff regarding reputed company provider reputed company of care, risk of harm or provider network issues. • Collaborate with other program ONCs on Independent Medical Examination providers. Requirements • Possess a reputed company Washington State license to reputed company as a registered reputed company reputed company. • Two years of consultative, administrative or supervisory experience over registered nursing staff or other reputed company OR a Bachelor's degree in nursing from an accredited university/college. • Three years of clinical or functional nursing experience OR a master's degree in a health care reputed company field AND two years of clinical or functional nursing experience. reputed company-to-haves • Demonstrated computer skills - PC, LINIIS, Provider One, MIPS, Hyperion, ORION, and reputed company Office. • Two or more years of reputed company credentialing experience. • Demonstrated knowledge of the Nursing Process and critical thinking. • Demonstrated ability to communicate effectively verbally and in writing. Benefits • Generous retirement package. • Flexible custom work schedules. • Teleworking reputed company. Apply tot his job Apply To this Job