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

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

📋 Description

• Conduct a thorough assessment of medical information for service requests.

• Gather additional pertinent data as necessary to determine medical necessity.

• Evaluate the gathered data in accordance with evidence-based guidelines relevant to the claim's jurisdiction.

• Collaborate with the insurance representative regarding the analyzed data and the comprehensive care plan as required.

• Inform providers, requesters, claimants, carriers, and other legally obligated parties of decisions made.

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

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

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

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

• Take part in teleconferences and scheduled staff meetings or training sessions.

• Execute additional duties as assigned.

⛳️ Requirements

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

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

• Demonstrate the professional and technical skills required for the role.

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

• Exceptional written and oral communication skills.

• Strong interpersonal abilities.

• Excellent organizational skills.

• High comfort level with computers and software applications (MS Word, MS Excel, Email).

• Capability to work independently with minimal oversight.

• Ability to meet deadlines in a fast-paced, time-sensitive setting.

• Capacity to lift up to 20 lbs.

• Must be able to sit for the majority of an 8-hour workday, except during lunch and breaks.

• Must be able to type for most of an 8-hour workday, except during lunch and breaks.

• Must possess manual dexterity.

• Must be able to communicate on the telephone intermittently throughout the day.

• Must have the ability to read and write in English fluently.

• Must ensure a safe home office environment.

• Home office must comply with HIPAA regulations.

• Requires a DSL, fiber, or cable internet connection from home; a speed of 100 Mbps or better is preferred.

🏝️ Benefits

• Medical, dental, and vision insurance.

• 401K plan.

• Paid time off.

• Paid holidays.

• Monthly internet stipend.