Description

Health Care Professional (HCP)—Utilization Review - Remote

UR is a collaborative process to promote quality cost effective outcomes, which enhance the physical, psychosocial, and vocational health of individuals. The process follows mandates per the SB863 and the California Labor Code. The HCP applies and provides technical knowledge and experience to the field of utilization management to assess the medical necessity of provider requests for services. ACOEM and MTUS are evidence-based guidelines, which have been presumed correct per California statutes, and is to be referenced for decisions. Official Disability Guidelines (ODG) are also evidence based guidelines, and is to be referenced for decisions.

Specifics: Full Time, Monday - Friday 8am - 5pm or 8:30am - 5:30pm (must be able to work PST hours), working remotely from home

The job responsibilities include:

Requirements

Job Requirements:

EK Health Services has built a reputation for offering superior, goal-oriented Workers’ Compensation case management, utilization review, and bill review services. Our emphasis on medical excellence, superior service, impartial reporting, and case resolution is the driving force behind our consistent annual growth. We are excited about expanding our footprint across the United States as we continue to seek opportunities to Transform Managed Care.

Employees are provided with competitive compensation and benefits, including but not limited to medical, dental, vision, PTO, and 401k. Please visit our website for more information at www.ekhealth.com.

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