Medical Reviewer

Job Description: Position Purpose:

Provide case management and clinical services to employees within their regulated scope of practice.

Experience/Education:

• BA/BS in nursing degree and current RN license in New York State

• Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance

• Experience in acute episodic care, wellness care and counseling of adults

• Proficiency in use of electronic medical record keeping systems desirable

• BLS certification required

• Case Management and COHN-S and preferred

Major Responsibilities:

• Manage Short Term Disability by tracking claims and communicate case status to employees, supervisors/mangers, hrSource, Human Resources and healthcare providers.

• Facilitate and be a resource to employees in a smooth transitional (modified) or full return to work assignments.

• Assist nurse practitioner as needed with patient care activities such as triage, counseling, patient education, acute or emergency visits, first aid, and other activities as needed

• Provides care for patients with occupational injuries and illnesses; includes notifications required for work-related injuries and illnesses.

• Provides nursing care to patients with non-work-related acute medical problems

• Provides preventive care and wellness services and counseling

• Supports site health promotion and disease prevention programs

• Documents patient data in electronic medical database(s), as per standard protocols

Technical Competency Description:

• Health Insurance Portability and Accountability Act (HIPAA)

• Americans with Disability Act (ADA)

• Family Medical Leave Act (FMLA)

• Federal, state, or local public health regulations

• Workers' Compensation

• OSHA , including recordkeeping

• OSHA Blood-borne pathogen/Universal precautions

Clinical Skills:

• Clinical skill performance within RN scope of practice

• Phlebotomy, EKG, medication administration, immunizations.

• Basic physical assessment & first aid

Position Location/Schedule:

Full-Time Contractor Position (First 6 months- 5 days onsite, then 4 days/week onsite and 1 day remote) 8:30 AM to 4:30 PM (Monday - Friday)

Client New York Headquarters - 66 Hudson Blvd East, NY, NY 10001

Interview: Teams meeting

Position Comments visible to Supplier: Mark-up not to Exceed 40%

Please note the candidate must be local to the Client NY Headquarters location.

Request: Medical Reviewer - Occupational Health & Wellness - Registered Nurse

Number of Contractors Needed: 1

Candidate Submission Limit Per Supplier: 2

Desired Start Date: 6/17/2024

Hrs/Wk: 40.00

MSP Owner: Franco, Crystal