Job description
Company Overview:
The Enlyte Family of Businesses
Mitchell | Genex | Coventry
Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.
Job Description:
Performs utilization review on workers’ compensation related treatment referrals. Uses solid clinical judgment to ensure treatment approved is medically necessary and consistent with jurisdictional guidelines. Forwards treatment requests for physician reviewer that cannot be approved as medically necessary based on application of solid clinical judgment.
Qualifications:
- DC or RN required.
- LPNs who have 2 years of experience in case management and/or chart review.
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