Independent Review Organization Overview
We are a URAC-accredited Independent Review Organization committed to delivering high-quality, objective, and independent medical review services. Our mission is to assist clients by providing expert medical reviews addressing benefit disputes and quality of care issues across medical management and workers' compensation settings.
Role Overview
In this role, you will coordinate the case review process by collaborating with a diverse team of administrative staff and physician peer reviewers. Your clinical expertise will help ensure the accuracy and quality of physician reports, and you will receive the necessary training to excel in your position. The work environment is hybrid, allowing for both remote and in-office work.
Key Responsibilities
- Collaborate with case managers, appeals coordinators, and physician reviewers via phone and electronic communication.
- Summarize and produce clear, well-written reports from case reviews.
- Interact with clients and resources nationwide to provide comprehensive support.
- Coordinate with non-clinical administrative staff to uphold high-quality standards and meet strict timelines.
Qualifications
- Experience in Utilization Review or Utilization Management.
- A minimum of five years of clinical experience in direct patient care.
- Current Registered Nurse (RN) license.
- Strong written and verbal communication skills.
- Proficiency in Microsoft Office (Word, Excel, Access).
- Excellent organizational skills and attention to detail.
Company Culture
We foster a supportive and team-oriented work environment that emphasizes cooperation, collaboration, and fairness. Ongoing mentorship and training in medical records review and appeals procedures are provided to support your success in the role.
Benefits
- Health, dental, and vision insurance
- Retirement plan (401k)
- Paid time off
- Employee assistance program
- Life and disability insurance
Schedule
- Monday to Friday
- 8-hour shifts with day hours, Saturday to Wednesday
Ideal Candidate
We seek dependable, detail-oriented individuals who thrive in a high-pressure environment. If you enjoy collaborative work and are dedicated to providing exceptional support, we invite you to consider this opportunity.
Salary
Compensation ranges from $60,000 to $65,000 per year.
Thank you for considering joining our mission to make a difference in the healthcare field. We look forward to potentially welcoming you to our team!
Employment Type: Full-Time