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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Attorney
Health Care
Litigation - Whistleblower - CFTC
Min 5 yrs required
Legal Nurse Consultant - Nurse Reviewer The candidate will provide consultative services. Will work with liability claims and staff legal files. Evaluate medical treatment to ensure quality, effective and cost-effective care. Supply Technical resource to claims. Review medical records to analyze treatments verses standards of care/ medical necessity. Confirm acceptable standards of medical care by utilizing clinical expertise, professional judgment, supported by established criteria documented in accepted peer reviewed research. Provide recommendations for action to the claims adjuster or attorney.
Qualification and Experience
Associate degree or equivalent and 5+ years of related clinical experience in complex cases (medical, surgical, orthopedic, or neurosurgery) will be required. Should be a Licensed RN. Bachelors Degree in Nursing and proven customer service experience will be preferred. Knowledge of research criteria for establishing standards of care preferred. Certification in Legal Nurse Consulting or JD is needed. Should have the medical knowledge and past clinical experience. In-depth knowledge and the ability to utilize resources to research medical issues and treatment plans on all cases will be required. Should have ability to effectively present information in written reports to customers. Computer literacy; proficient in Word and Excel is needed. Experience in a work environment that required collaboration across work groups required. Experience in a work environment that required professional and personal effectiveness in multi-tasking, adapting to a changing environment, working independently, and coordinating/prioritizing/organizing efficiently required. Should have experience in a work environment that required professional and personal effectiveness in establishing relationships with clients, customers, peers, and management. Note: This is a work from home opportunity and can be filled anywhere in US except California.
Ref: 150003Z6.
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