Clinical Nurse Utilization Analyst

MedRisk LLC

114d

About The Position

The clinical advisor services analyst II nurse is responsible for performing telephonic assessments of work-related injuries. The nurse will conduct telephone assessments of work-related injuries/illness while utilizing an assessment platform and decision support tool to determine the appropriate treatment recommendation for the injury/illness at hand.

Requirements

• Active and unencumbered registered nursing license with two years clinical nursing experience
• Primary RN license must be compact license (nurse must have compact license and reside in a compact state)
• Occupational medicine, ED or UC experience desirable
• CA nurse licensure is mandatory (must hold an active CA RN license or be willing to obtain upon hire - company to reimburse cost)
• Medicine or Rehab experience desirable
• Strong organizational and time management skills
• Ability to multitask (type/talk/read simultaneously)
• Knowledgeable in computer operations, including Windows operating system, data entry skills and 10-key capabilities
• At least 30 to 40 WPM typing speed required
• Must possess excellent oral communication/telephone skills
• Must demonstrate the ability to understand state laws and guidelines
• Great interdepartmental communication (regularly communicates with intake team)

Responsibilities

• Develop and maintain effective professional relationships with medical providers, claims adjusters and clients
• Demonstrates excellence in communications to ensure customer satisfaction and retention
• Demonstrates basic problem-solving skills to ensure early intervention and identification of those injuries which will benefit from medical case management or to deliver self-care advice during the triage process
• Directs recommended care into network providers as applicable
• Follows up on injury status, when applicable, to advance level of care when necessary
• Accurately and completely documents in file using standard documentation format(s)
• Follows all standards, procedures, and protocols
• Maintains nurse licensure with license in good standing
• Maintains an overall QA average of 95%
• Participates in departmental projects and meetings with 80% minimum attendance at meetings
• Acknowledges and adheres to Stratacare policies and procedures
• Maintains acceptable attendance and tardiness

What This Job Offers

• Job Type: Full-time
• Number of Employees: 251-500 employees