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 prospective, concurrent and retrospective treatment referrals. Uses solid clinical judgment to ensure treatment approved is medically necessary. Forwards treatment requests for physician reviewer that cannot be approved as medically necessary based on application of solid clinical judgment. RN or LVN is required.
Qualifications:
Preferred 2-3 years’ clinical experience and or Preferred 1 years’ review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity.
Additional experience that is not required but would be a plus: CRM or another computer database. Data entry experience. Medical coding. Strong knowledge of Microsoft Outlook and other software
Education/Training:. Nursing Degree – ASN, BSN, or other nursing degree. Preference for current Nursing Licensure – LPN/LVN or RN
Benefits : We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $65,557 - $85,000 annually and will be based on a number ofadditional factors, including skills, experience, and education The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #LI-AV1 #LI-Remote
