California Licensed RN Case Reviewer
A company is looking for a Consultant - Medical (RN) Case Reviewer 2.
Key Responsibilities
Review and summarize WCMSA case submissions, certifying or non-certifying requested treatments
Provide written clinical rationales for California Workers Compensation cases and ensure compliance with applicable standards
Monitor review timelines and perform special projects as assigned, becoming a subject matter expert in the process
Required Qualifications
Bachelor's degree with 3-5 years of relevant consulting experience or equivalent professional experience
Valid RN licensure is required
Commitment to a two-week training period and flexibility in work hours post-training
Extensive medical knowledge, including familiarity with medical terminology and coding systems
Experience with Medicare Set-Aside arrangements and related healthcare guidelines is preferred
A company is looking for a Consultant - Medical (RN) Case Reviewer 2.
Key Responsibilities
Review and summarize WCMSA case submissions, certifying or non-certifying requested treatments
Provide written clinical rationales for California Workers Compensation cases and ensure compliance with applicable standards
Monitor review timelines and perform special projects as assigned, becoming a subject matter expert in the process
Required Qualifications
Bachelor's degree with 3-5 years of relevant consulting experience or equivalent professional experience
Valid RN licensure is required
Commitment to a two-week training period and flexibility in work hours post-training
Extensive medical knowledge, including familiarity with medical terminology and coding systems
Experience with Medicare Set-Aside arrangements and related healthcare guidelines is preferred