Health Care Professional – Workers Compensation (RN, DC, PT, DPT, LVN, OT, LAc)

🔥 16 hours ago

🤠 Texas – Remote

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💵 $30 - $35 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of EK Health Services Inc.

EK Health Services Inc.

201 - 500 employees

Founded 1998

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

EK Health Services Inc. is a comprehensive healthcare management company specializing in case management, medical bill management, and vocational services. They offer services such as discharge planning, utilization review, ergonomic evaluations, and Medicare set-aside services, ensuring excellence and efficiency in healthcare delivery. EK Health is committed to innovation and quality care, partnering with various organizations to enhance their offerings and support injured employees.

📋 Description

• Perform complete evaluations of medical data for service requests • Collect additional relevant data as needed to determine medical necessity • Analyze collected data according to applicable evidence-based guidelines • Discuss analyzed data and comprehensive plans of care with insurance representatives as needed • Notify providers, requesters, claimants, carriers, and other mandated parties of decisions • Coordinate information among injured workers, physicians, employers, therapists, attorneys, and other parties • Participate in annual work-product audits to ensure compliance • Interact professionally with EKHS staff, the medical community, and EKHS customers in oral and written forms • Work within the scope of practice of an RN, DC, PT, DPT, LVN, OT, or LAc • Participate in scheduled teleconferences, staff meetings, and trainings • Perform other duties as assigned

🎯 Requirements

• Graduate of an accredited school of nursing, chiropractic, or another related medical program (RN, DC, PT, DPT, LVN, OT, LAc) • Valid state-specific license in the appropriate scope of practice in good standing with no restrictions • Professional and technical skills required for the role • Experience in UR; Workers' Compensation experience highly preferred, but not required • Excellent written and oral communication skills • Excellent interpersonal skills • Strong organization skills • High comfort level with computers and computer programs (MS Word, MS Excel, Email) • Ability to work independently with minimal supervision • Ability to meet deadlines in a high pressure, time sensitive environment • Ability to lift up to 20 lbs. • Able to sit the majority of an 8-hour day except for lunch and break times • Able to keyboard the majority of an 8-hour day except for lunch and break times • Manual dexterity • Able to speak on the telephone intermittently throughout the day • Able to read and write English fluently • Able to provide and confirm a safe, HIPAA-compliant home office environment • DSL, fiber, or cable internet connection from home; 100 Mbps preferred or better

🏖️ Benefits

• Medical, Dental and Vision insurance • 401K • Paid Time Off • Paid Holidays • Monthly Internet Stipend • Fully remote work

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