Health Care Professional – Workers Compensation (RN, DC, PT, DPT, LVN, OT, LAc)

This is a fully remote position, open to applicants in Texas.

📋 Description

• Conduct thorough evaluations of medical data for service requests.

• Gather additional relevant information as necessary to assess medical necessity.

• Examine collected data in accordance with applicable evidence-based guidelines.

• Collaborate with insurance representatives to discuss analyzed data and comprehensive care plans as required.

• Inform providers, requesters, claimants, carriers, and other required parties of decisions.

• Facilitate communication among injured workers, physicians, employers, therapists, attorneys, and other stakeholders.

• Engage in annual audits of work products to ensure compliance.

• Maintain professional interactions with EKHS staff, the medical community, and EKHS clients in both oral and written communication.

• Operate within the professional scope of an RN, DC, PT, DPT, LVN, OT, or LAc.

• Attend scheduled teleconferences, staff meetings, and training sessions.

• Execute other assigned responsibilities.

⛳️ Requirements

• Graduate from an accredited nursing, chiropractic, or other relevant medical program (RN, DC, PT, DPT, LVN, OT, LAc).

• Hold a valid state-specific license in the relevant scope of practice, in good standing with no restrictions.

• Possess the professional and technical skills necessary for the position.

• Experience in Utilization Review (UR) is preferred; Workers' Compensation experience is a plus but not mandatory.

• Demonstrate excellent written and verbal communication abilities.

• Exhibit strong interpersonal skills.

• Show proficient organizational skills.

• Have a high level of comfort with computers and software applications (MS Word, MS Excel, Email).

• Ability to work independently with minimal oversight.

• Capable of meeting deadlines in a fast-paced, time-sensitive environment.

• Ability to lift up to 20 lbs.

• Able to sit for the majority of an 8-hour shift, excluding lunch and break periods.

• Able to use a keyboard for most of an 8-hour shift, excluding lunch and break periods.

• Exhibit manual dexterity.

• Able to engage in telephone conversations intermittently throughout the day.

• Possess the ability to read and write English fluently.

• Capable of providing and confirming a safe, HIPAA-compliant home office environment.

• Have a DSL, fiber, or cable internet connection from home, with a preference for 100 Mbps or better.

🏝️ Benefits

• Medical, Dental, and Vision insurance.

• 401K.

• Paid Time Off.

• Paid Holidays.

• Monthly Internet Stipend.

• Fully remote work.