Intercare Holdings Insurance Services
201 - 500 employees
Insurance • Risk Management
Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.
Temp LVN/LPN – Utilization Review Nurse
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🔥 0 minutes ago
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Intercare Holdings Insurance Services
201 - 500 employees
Insurance • Risk Management
Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.
📋 Description
• Review medical records to determine the medical necessity of a request for medical services. • Validate diagnosis and corresponding algorithms of care. • Evaluate for over-utilization of treatment requests inconsistent with evidence based guidelines. • Communicate with the claims examiner, providers, and any other auxiliary provider regarding UR determination. • Summarize medical records and all pertinent information for Physician Advisor. • Identify the need for medical case management and make recommendations for referral through supervisor.
🎯 Requirements
• Minimum of 3 years clinical experience • California Worker’s Compensation, Managed Care experience/Utilization Review experience desired • Needs to be familiar with California Worker’s Compensation regulations, medical terminology • Completion is IEA CA10 is required within one year of employment
🏖️ Benefits
• Comprehensive medical, dental, and vision benefits • Company contributions to HSA and FSA plans • Employer paid life and disability insurance • 401(k) with company match • Paid time off (PTO) and company paid holidays • Learning and development opportunities that support real career advancement • Employee assistance resources and a supportive culture that values balance and wellbeing
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