Case Preparation Nurse Addison TX Full Time
Job Id
74280
Job Location
Addison, TX
Employment Type
Full Time-Regular
Industry
Health Care
Concentra
20180608T212413Z
Overview

From our Dallas corporate headquarters to our clinics and worksite locations, Concentra colleagues remain focused on our driving purpose:  to provide superb patient and employer experience by delivering the highest quality healthcare in an efficient, affordable, caring manner. We do this by putting all customers (internal and external) first and by displaying:

  • A healing focus
  • A selfless heart
  • A tireless resolve
Responsibilities

Perform pre-review case preparation of the peer review template utilizing information from the review of clinical records and a review of the appropriate protocols/ guidelines.

 

The Details

  • Categorize case medical records by listing of type, author of record and date of service
  • Select appropriate clinical guidelines according to jurisdictional requirements and the specific request made by the treating provider
  • Copy and paste the applicable parts of the clinical guidelines into the designated area in the report template
  • Prepare a clinical summary utilizing the guidelines and medical records as a basis for the report and enter into the report template
  • Make a medical necessity determination based on all of the above and enter in the case notes and the appropriate computer system field
  • Other duties as assigned by supervisor
Qualifications

Education/credentials

  • RN or LVN with current and unrestricted Texas nursing license

Job-related experience

  • At least 5 to 7 years of previous experience as a licensed nurse in a clinical environment with direct patient care
  • At least 2 years utilization review experience, three or more years preferred
  • Worker’s Compensation UR experience is preferred
  • Experience selecting clinical guidelines or criteria
  • Computer experience including Microsoft Office and preferably experience using electronic medical records

Job-related skills/competencies

  • Must have an excellent understanding of medical terminology
  • Must have an understanding of musculoskeletal terminology, procedures, and treatments
  • Must be familiar with medication names
  • Must be able to utilize a reference source to look up procedures and medications
  • Must be able to select an appropriate practice guideline for a requested procedure
  • Must have excellent written communications skills and ability to compose written reports using correct grammar and spelling

Working conditions/physical demands

  • Office environment, with extended periods using a computer
Benefits
  • 401(k) with Employer Match
  • Medical/Vision/Prescription/Dental Plans
  • Life Insurance/Disability
  • Paid Time Off/Holidays
  • Colleague Referral Bonus Program   

This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

 

Concentra is an Equal Opportunity Employer, M/F/Disability/Veteran.



We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, sexual orientation, gender identity, disability or medical or veteran status in accordance with federal law. In addition, Concentra Inc. complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities.

Talk to a Recruiter

Tracy Grange
Tracy Grange