Utilization Review Health Care Professional (PT, LVN, LPN) - REMOTE - PST Schedule

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!

• 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