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New York Licensed Medical Consultant
A company is looking for a Consultant - Medical (Workers Compensation). Key Responsibilities Conduct independent medical reviews for prior authorization requests related to various benefits Provide written clinical rationales and ensure all medical records are organized for review Monitor review timeliness and meet production and quality standards consistently Required Qualifications Bachelor's degree with 3-5 years of relevant consulting experience Current Registered Nurse (RN) license valid in the state of practice Experience in state workers compensation, preferably in New York Knowledge of medical terminology, ICD-9/10 Codes, and CPT codes Familiarity with utilization review standards and state-specific workers' compensation guidelines
A company is looking for a Consultant - Medical (Workers Compensation).
Key Responsibilities
Conduct independent medical reviews for prior authorization requests related to various benefits
Provide written clinical rationales and ensure all medical records are organized for review
Monitor review timeliness and meet production and quality standards consistently
Required Qualifications
Bachelor's degree with 3-5 years of relevant consulting experience
Current Registered Nurse (RN) license valid in the state of practice
Experience in state workers compensation, preferably in New York
Knowledge of medical terminology, ICD-9/10 Codes, and CPT codes
Familiarity with utilization review standards and state-specific workers' compensation guidelines
