Nurse Reviewer,AIS

Company:Concentra Location:Syracuse, NY 13057 Job Category:Medical/Health Reference Code:conc-00019691 Concentra is an Equal Opportunity Employer. JOB SUMMARY: The TPAA Nurse Reviewer will provide recommendations to the insurance carrier in regards to care provided to patients and determine the frequency, duration, and medical necessity of the care provided. MAJOR DUTIES AND RESPONSIBILITIES:' Chronologies and index medical records, HFCA and UB92 bills on injured parties, involved in automobile accident cases ' Perform file review on all documentation received' Summarize all detailed information to include, but not limited to: frequency, duration and medical necessity of all treatment provided' Perform utilization review per technical guidelines established by Concentra' Perform data entry of all nurse review decisions' Other duties as assigned QUALIFICATIONS:' Registered Nurse with state license ' 3 years previous case management experienceWORKING CONDITIONS/PHYSICAL DEMANDS: ' Office environment To Apply, Click here The Circle of Success.Concentra's mission is to improve the quality of life by making health care accessible and affordable. We serve the occupational, urgent care, and automobile markets with a wide range of services: Employment-related injury care and occupational health care provided at more than 320 Concentra-managed medical centers in 40 states. Urgent care services provided to the public at selected medical center locations in key metropolitan areas. Specialty occupational health care solutions provided to employers through on-site locations, by traveling to the workplace, or via the Internet and telephone. Automobile claim services through our Auto Injury Solutions division. The Circle of Opportunity. Concentra manages more than 320 medical centers in 40 states and continues to expand our geographic reach through the acquisition of established medical providers and the development of new locations. We are actively expanding our Urgent Care service offering by adding this capability to existing Concentra Medical Center locations. Our specialty health services, which we refer to as our Health Solutions division, is rapidly expanding as we identify new ways to provide customized health care solutions for employers and their workers.The Circle of Teamwork. Concentra brings together talented, compassionate people to solve the highly complex issues of health care delivery, accessibility, and affordability. Every day, we make a difference in the lives of thousands of people through our ability to improve health care efficiency and outcomes. Your career path and development can be on-the-go at Concentra, where you can advance as far as your ideas and performance can take you.