Nurse Utilization – Clinical Analyst, Bilingual Spanish/English

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

📋 Description

• Establish and nurture effective professional relationships with medical providers, claims adjusters, and clients.

• Exhibit outstanding communication skills to guarantee customer satisfaction and loyalty.

• Apply fundamental problem-solving abilities to facilitate early intervention and injury identification.

• Guide recommended care towards network providers.

• Conduct follow-ups on injury status.

• Accurately and thoroughly document in files using standard documentation formats.

• Adhere to all standards, procedures, and protocols.

• Maintain an overall quality assurance average of 95%.

• Engage in departmental projects and attend meetings.

⛳️ Requirements

• Possession of an active and unencumbered registered nursing license.

• A minimum of two years of clinical nursing experience.

• The primary RN license must be a compact license.

• Experience in occupational medicine, emergency department, or urgent care is preferred.

• California nurse licensure is required.

• Strong organizational and time management skills are essential.

• Capability to multitask effectively.

• Proficient in computer operations.

• Required typing speed of at least 30 to 40 words per minute.

• Excellent oral communication and telephone skills are necessary.

• Must demonstrate a solid understanding of state laws and guidelines.

🏝️ Benefits

• The Clinical Advisor Services Analyst is tasked with conducting telephonic assessments of work-related injuries.

• Responsible for performing telephone assessments of work-related injuries and illnesses.