Mitchell, Genex and Coventry
With Mitchell, Genex and Coventry now one organization, we’ve dramatically expanded our ability to deliver innovative services and technologies to our customers. We’ve also seen career opportunities within our combined organization grow. Each part of our organization helps people recover after a challenging event in their lives.
Mitchell delivers trusted software and services to the property & casualty claims, collision repair and risk management industries with technology-enabled solutions that simplify claims handling, repair processes and pharmacy transactions. Genex helps injured workers return to their jobs in a safe and efficient manner through compassionate case management, reducing health care costs and disability expenses for our customers. Coventry offers the nation’s largest and most diverse set of provider and ancillary networks focused on improving total overall outcomes.
Together, we bring a complete set of proven capabilities for our partners who require more than one-dimensional solutions. We combine innovative technology, insightful analytics and deep expertise to help them reach their ultimate goal—restoring lives.
Job Description:
- Performs utilization review on workers’ compensation related prospective, concurrent and retrospective treatment referrals.
- Uses solid clinical judgment to ensure treatment approved is medically necessary.
- Forwards treatment requests for physician reviewer that cannot be approved as medically necessary based on application of solid clinical judgment.
- Reviews Michigan auto-related cases with precision and subject matter expertise.
- RN or LVN is required.
Qualifications:
Required Skills and Experience:
- A minimum of 5 years of acute care experience.
- A minimum of 3 years workers compensation utilization review
Auto or bill review experience.
Benefits : We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. The Company is an equal opportunity employer, values the diversity of our workforce and the knowledge of our people. The Company does not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law. #LI-NJ #Remote
Source: Indeed.com
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