Ot Jobs

About The Position

Requirements

• Graduate of an accredited school of nursing, chiropractic, or another related medical program, with an RN, DC, PT, DPT, LVN, OT, or LAc qualification.
• Valid state-specific license in the appropriate scope of practice, in good standing and without restrictions.
• Possess and demonstrate the required professional and technical skills.
• Excellent written and oral communication skills.
• Excellent interpersonal skills.
• Strong organizational skills.
• Comfort using computers and programs including MS Word, MS Excel, and email.
• Ability to work independently with minimal supervision.
• Ability to meet deadlines in a high-pressure, time-sensitive environment.
• Ability to lift up to 20 lbs.
• Ability to sit for most of an eight-hour workday, apart from lunch and breaks.
• Ability to keyboard for most of an eight-hour workday, apart from lunch and breaks.
• Manual dexterity.
• Ability to speak on the telephone intermittently throughout the day.
• Fluent English reading and writing ability.
• Ability to provide and confirm a safe home office environment.
• Home office must be HIPAA compliant.
• DSL, fiber, or cable internet connection from home; 100 Mbps or better is preferred.

Nice To Haves

• Experience in utilization review (UR) is highly preferred but not required.
• Workers’ Compensation experience is highly preferred but not required.

Responsibilities

• Perform a complete evaluation of medical data for each request.
• Collect additional relevant data as needed to determine medical necessity.
• Analyze collected data and determine medical necessity using applicable evidence-based guidelines.
• Discuss analyzed data and the comprehensive plan of care with the insurance representative before implementation, as needed.
• Notify the provider, requester, claimant, carrier, and other parties of decisions as required by law.
• Coordinate information among injured workers, physicians, employers, other providers such as therapists, and attorneys when involved.
• Participate in annual audits of work product to ensure compliance.
• Interact professionally, orally and in writing, with EKHS staff, members of the medical community, and EKHS customers.
• Participate in scheduled teleconferences, staff meetings, and trainings.
• Perform other duties as assigned.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k)
• Paid time off
• Paid holidays
• Monthly internet stipend