Key skills
Communication
About this role
Role Overview
- Through a review of relevant medical files and related documentation, provides a chronology, analysis and medical bill review and cost projection for injuries cases consistent with the current guidelines
- Collaborates with a team of attorneys and medical professionals in identifying mitigating issues for injury claims
- Uses ISO Claims Partners proprietary information technology tools to identify diagnoses and treatment guidelines when applicable
- Provides additional professional analysis and recommendations as needed
- This is a full-time position, but additional hours may be required during peak time
- Occasional travel (<10% of the time)
Requirements
- Bachelor’s Degree, Associate Degree or Diploma in Nursing
- 3-5 years’ experience in Nursing
- RN license in good standing with the applicable Board of Nursing
- Experience in preparing medical review reports, medical bill reviews and utilization reviews in injury cases
- Certification in any of the following, including but not limited to: Legal Nurse Consulting, Rehabilitation Counseling, Disability Management, Utilization Review, Life Care Planning, Medical Coding, Case Management a plus
- Strong interpersonal, oral, and written communication skills including report preparation preferred
- Ability to work effectively both independently and as a member of a team
- Ability to gather data, compile and synthesize information, including medical information, claims payment histories and billing, to identify level and types of services utilization
Benefits
- Health Insurance
- a Retirement Plan
- Disability benefits
- a Paid Time Off program