-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Columbia, US-SC
Salary / Rate: 52500
Posted: 2024-04-16 08:23:41
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Memphis, US-TN
Salary / Rate: 52500
Posted: 2024-04-16 08:23:40
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: 52500
Posted: 2024-04-16 08:23:39
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Houston, US-TX
Salary / Rate: 52500
Posted: 2024-04-16 08:23:39
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: San Antonio, US-TX
Salary / Rate: 52500
Posted: 2024-04-16 08:23:38
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Charleston, US-SC
Salary / Rate: 52500
Posted: 2024-04-16 08:23:38
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: 52500
Posted: 2024-04-16 08:23:37
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Pittsburgh, US-PA
Salary / Rate: 52500
Posted: 2024-04-16 08:23:37
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Eugene, US-OR
Salary / Rate: 52500
Posted: 2024-04-16 08:23:36
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Tulsa, US-OK
Salary / Rate: 52500
Posted: 2024-04-16 08:23:35
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Portland, US-OR
Salary / Rate: 52500
Posted: 2024-04-16 08:23:35
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Providence, US-RI
Salary / Rate: 52500
Posted: 2024-04-16 08:23:34
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Newport, US-RI
Salary / Rate: 52500
Posted: 2024-04-16 08:23:34
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Charlotte, US-NC
Salary / Rate: 52500
Posted: 2024-04-16 08:23:33
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Fargo, US-ND
Salary / Rate: 52500
Posted: 2024-04-16 08:23:32
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Oklahoma City, US-OK
Salary / Rate: 52500
Posted: 2024-04-16 08:23:32
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Columbus, US-OH
Salary / Rate: 52500
Posted: 2024-04-16 08:23:31
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Wilmington, US-NC
Salary / Rate: 52500
Posted: 2024-04-16 08:23:31
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Cleveland, US-OH
Salary / Rate: 52500
Posted: 2024-04-16 08:23:30
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Cincinnati, US-OH
Salary / Rate: 52500
Posted: 2024-04-16 08:23:30
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Rochester, US-NY
Salary / Rate: 52500
Posted: 2024-04-16 08:23:29
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Minot, US-ND
Salary / Rate: 52500
Posted: 2024-04-16 08:23:29
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Cherry Hill, US-NJ
Salary / Rate: 52500
Posted: 2024-04-16 08:23:28
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Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Buffalo, US-NY
Salary / Rate: 52500
Posted: 2024-04-16 08:23:27
-
Description & Requirements
Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review, organize and identify all medical records provided for CA workers comp cases.
Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
Minimum Requirements
Minimum Requirements:
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Graduate of an accredited nursing program
- 1+ year of related experience in the medical/healthcare field
- Active, unrestricted RN or LPN Licensure is required.
- Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
- Ability to quickly learn and proficiently use multiple project-related computer applications.
- Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
- Ability to work as a team member, as well as independently.
- Ability to work with little supervision.
- Excellent organizational, written, and verbal communication skills
Preferred Requirements:
- Bachelor's Degree preferred
- 3+ years of related experience consulting within designated function
- Prior experience in Utilization Management preferred.
- Knowledge of health regulations, guidelines, and coverage issues
- Knowledge of statistical terminology and use of statistics
Home Office Requirements:
- Candidates must have their own cell phone.
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resi...
....Read more...
Type: Permanent Location: Albany, US-NY
Salary / Rate: 52500
Posted: 2024-04-16 08:23:27
