Workers' Comp Utilization/Complex Case Management Nurse
$67k/y-$73k/y
a day ago
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HybridFull-timeSenior
Summary
Injury Management Organization, Inc. is seeking a Workers' Comp Utilization/Complex Case Management Nurse to join their team in Plano, TX. The role involves reviewing medical treatment records and making clinical determinations for injured workers.
About the Role
As a Workers' Compensation Utilization Review Nurse, you will be responsible for applying evidence-based guidelines to promote effective treatment plans. Your daily tasks will include reviewing medical treatment records, making clinical determinations in accordance with the Official Disability Guidelines (ODG), and processing requests from healthcare providers and injured employees. This position allows you to blend your clinical knowledge with critical decision-making skills in a collaborative environment focused on integrity and teamwork.
About You
Required:
- Valid RN license in accordance with the Texas Board of Nursing.
- At least 5 years of experience in Utilization Management/Complex Case Management and Workers' Compensation.
- Experience in Utilization Review/Preauthorization.
- Group Health experience.
Preferred:
- Bilingual proficiency in Spanish and English.
- Familiarity with CPT and ICD-10 codes and medical terminology.
Benefits
- Medical, Dental, Vision coverage.
- 401(k) plan.
- Life Insurance.
- Health Savings Account.
- Competitive Salary.
- Paid Time Off.
- Snack/Drink Room.
Injury Management Organization, Inc.
We're more than a vendor, we're a partner. Injury Management Organization, Inc. (IMO) is a managed care company serving private and public employers, nonsubscribers, insurance carriers and third party administrators. We are driven by servant leadership, employee satisfaction and strong ROI for our clients. IMO Managed Care | Core Services: > Case Management > Utilization Review > Medical Bill Review > Health Care Networks > Ancillary Coordination (Peer Review, RME, DD) > Industry Care Programs > Nonsubscription Services Minority and Woman-Owned Business Enterprise founded in 1991.
Plano, TX