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 is a remote position.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
- 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
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
- 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
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
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!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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