CorVel Corporation
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
The Legal Nurse Consultant reviews medical records and billing, applying nursing expertise to prepare a concise medical treatment analysis, opining medical treatment relatedness to an injury. This a part time position.
KNOWLEDGE & SKILLS: Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers. Excellent written and verbal communication skills Ability to meet designated deadlines Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Word and Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment EDUCATION/EXPERIENCE: Graduate of accredited school of nursing, BSN desirable Current RN Licensure in state of operation Legal Nurse Consultant certification required 3 or more years’ of recent experience in similar role preferred Certification as a MSCC or CNLCP preferred Strong clinical background in orthopedics, neurology, or rehabilitation preferred Strong cost containment background, such as utilization review or managed care helpful
Communicate with customers clarifying specific requirements of case Assess, review and summarize medical records and bills in a clear, concise manner Prepare a timeline or other summary of documentation for medical records Perform evidenced based medical research Ability to apply nursing knowledge to prepare a summary, conclusion, and recommendations of medical record review and research Required to prepare concise, organized written reports within a specified timeframe Educate and advise attorneys and clients regarding relevant medical issues Required to read extensively May require serving as an expert witness in the court system Minimum Productivity Standard is 95% Requires regular and consistent attendance Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP). Additional duties as required
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