Novare is seeking a Utilization Review Nurse Workers Compensation to join our team! This is a remote position and any California Work Comp experience is a huge plus!
The Utilization Review Nurse is responsible for coordinating all components of the utilization review process, which includes timely review of treatment requests for medical necessity, ensuring appropriate cost-effective treatment and promotion of best patient outcomes.
- Active, unrestricted professional license or certification to practice as a health professional in a state or territory of the United States:
a) An associate degree or higher in a healthcare field (RN); OR
b) State license or state certificate in a healthcare field (LVN/LPN).
- Certified Case Manager (CCM), Health Care Quality & Management (HCQM) or equivalent certification preferred.
- 3 years of clinical nursing experience.
- 1-year experience with workers compensation/utilization management.
Company DescriptionNovare was founded in 2001 and remains an independent privately held, workers compensation cost Containment Company. Novare has a staff of professional nurse case managers, vocational rehab specialists, utilization management nurses and medical bill review analysts. Novare is committed to efficient and effective cost containment with a high responsibility to quality, service and local representation. Our services are uniquely customized to meet our customers specific needs. Our staff is highly professional and among the most experienced and innovative in the industry.Company
Utilization Review Nurse - Work From Home