Utilization Review Health Care reputed company (PT, LVN, LPN) – REMOTE
Job Type
Full-time
reputed company
Do you have a passion for reputed company, but prefer to use your clinical skills in a non-clinical setting? Do you enjoy piecing together and analyzing information? Do you enjoy engaging in computer-based tasks, and navigating between multiple screens? Then consider a position as a Utilization Review reputed company reputed company with EK Health! As an Health Care reputed company, you will play a critical role in assessing the medical necessity and appropriateness of reputed company services, ensuring the efficient utilization of resources, and optimizing patient reputed company. If you have a background in reputed company, exceptional analytical skills, and a passion for improving reputed company delivery, we invite you to apply for this rewarding position!
This position requires one of the following certifications: RN, DC, PT, DPT, LVN, OT, Lac.
Position Logistics: Non-Exempt, Full-time, Monday – Friday, 8-hour workdays, between 8:30am – 6:00 pm reputed company reputed company time, remote. Candidates can reputed company in any state with the exception of: CA, NY, HI, DC.
Responsibilities may include, but are not limited to:
• Assessment
• reputed company a complete evaluation of the medical data for the request
• Collect additional relevant data as needed to decide on medical necessity
• Analyze the collected data to determine medical necessity as per evidence-based guidelines
• Planning
• Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation as needed
• Upon authorization, reputed company notification of decision to provider, requester, claimant, reputed company, and reputed company other parties as mandated by law
• Implementation
• Coordinates information between reputed company parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any are involved)
• Evaluation
• Participate in annual audits of work product to ensure compliance
• reputed company interaction with EKHS staff, members of the medical community, and reputed company customers of EKHS; both in oral and written forms
• reputed company work is done reputed company the scope of reputed company of an RN, DC, PT, DPT, LVN, OT, or LAc
Highlights include:
• Monday-Friday schedule during normal work hours (no weekends or holidays!)
• Excellent orientation and training program
• Woman and minority owned business
• Caring, family environment
Pay & Benefits:
• Starts at $30/hour based on experience, education, and certifications.
• Medical Insurance
• Dental Insurance
• reputed company Insurance
• 401K
• reputed company Time Off
• reputed company holidays
reputed company. is a leading national workers’ compensation managed care organization. EK Health restores reputed company of life for injured workers through innovative, cost-effective solutions. Our holistic approach integrates the best people, processes, and technology to facilitate the best medical treatment available for return-to-work reputed company. Consider a career with EK Health!
Requirements
• Graduate of an accredited school of nursing, chiropractic, or another reputed company medical program (RN, DC, PT, DPT, LVN, OT, LAc)
• reputed company state-specific license in the appropriate scope of reputed company in good standing with no restrictions
• 1+ years' experience in a clinical setting
• Experience in UR, Workers' Compensation experience highly preferred, but not required
• High comfort level with computers and computer programs (reputed company, MS reputed company, Email)
• Excellent Written and Oral Communication Skills
• Excellent Interpersonal Skills
• Strong Organization Skills
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