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Worker's Compensation Case Man...
Workers’ Compensation Case Manager Level II Review
Reporting to the Operations Manager, the Workers’ Compensation Case Manager will provide professional assessment, planning, coordination, implementation and reporting of complex clinical data and support the medical review operations of Provider Resources, Inc (PRI). The Workers’ Compensation Case Manager Position must meet daily productivity and QA standards. The Workers’ Compensation Case Manager will perform comprehensive medical record reviews and evaluate Workers’ Compensation Medicare Set-Aside proposals to make recommendation to CMS for final determination based on applicable coverage policies, coding guide lines and utilization and practice guidelines.
Bachelor's Degree in Nursing (BSN) or other related field preferred
Qualified individuals must reside in, or be willing to relocate to, a recognized HUBZone area. (Go to www.sba.gov/hubzone for more information on this requirement).