Utilization Review Health Care Professional (PT, LVN, LPN) – REMOTE

Job Type Full-time Description Do you have a passion for healthcare, but prefer to use your clinical skills in a non-clinical setting? Do you enjoy piecing together and analyzing information? Do you enjoy engaging in computer-based tasks, and navigating between multiple screens? Then consider a position as a Utilization Review Healthcare Professional with EK Health! As an Health Care Professional, you will play a critical role in assessing the medical necessity and appropriateness of healthcare services, ensuring the efficient utilization of resources, and optimizing patient outcomes. If you have a background in healthcare, exceptional analytical skills, and a passion for improving healthcare delivery, we invite you to apply for this rewarding position! This position requires one of the following certifications: RN, DC, PT, DPT, LVN, OT, Lac. Position Logistics: Non-Exempt, Full-time, Monday – Friday, 8-hour workdays, between 8:30am – 6:00 pm Pacific Standard time, remote. Candidates can reside in any state with the exception of: CA, NY, HI, DC. Responsibilities may include, but are not limited to: • Assessment • Perform a complete evaluation of the medical data for the request • Collect additional relevant data as needed to decide on medical necessity • Analyze the collected data to determine medical necessity as per evidence-based guidelines • Planning • Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation as needed • Upon authorization, provide notification of decision to provider, requester, claimant, carrier, and all other parties as mandated by law • Implementation • Coordinates information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any are involved) • Evaluation • Participate in annual audits of work product to ensure compliance • Professional interaction with EKHS staff, members of the medical community, and all customers of EKHS; both in oral and written forms • All work is done within the scope of practice of an RN, DC, PT, DPT, LVN, OT, or LAc Highlights include: • Monday-Friday schedule during normal work hours (no weekends or holidays!) • Excellent orientation and training program • Woman and minority owned business • Caring, family environment Pay & Benefits: • Starts at $30/hour based on experience, education, and certifications. • Medical Insurance • Dental Insurance • Vision Insurance • 401K • Paid Time Off • Paid holidays EK Health Services Inc. is a leading national workers’ compensation managed care organization. EK Health restores quality of life for injured workers through innovative, cost-effective solutions. Our holistic approach integrates the best people, processes, and technology to facilitate the best medical treatment available for return-to-work possibilities. Consider a career with EK Health! 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 • 1+ years' experience in a clinical setting • Experience in UR, Workers' Compensation experience highly preferred, but not required • High comfort level with computers and computer programs (MS Word, MS Excel, Email) • Excellent Written and Oral Communication Skills • Excellent Interpersonal Skills • Strong Organization Skills Apply tot his job Apply To this Job