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

Apr 29, 2025 - 17:19
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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