Maximus is currently hiring for a Medical Nursing Consultant to support the Independent Medical Review (IMR) project.
This is a full-time position that is fully remote and can be located anywhere in the United States.
Essential Duties and Responsibilities
– Review, organize and identify all medical records provided for CA workers comp cases. Monitor timeliness of reviews to ensure applicable standards are met.
– Consistently meet production and quality standards.
– Perform special projects as assigned such as legal research, general medical research, etc.
– Work on special projects to improve CA IMR project or other special projects as assigned.
– Become a subject matter expert (SME) using job aides and learning tools.
Preferred Skills and Qualifications
– Graduate of an accredited nursing program
– 1+ year of related experience in the medical/healthcare field
– Active, unrestricted RN or LPN Licensure is required.
– Proficient understanding and experience with Microsoft products; Word, Excel, PowerPoint, Outlook required.
– Ability to quickly learn and proficiently use multiple project-related computer applications.
– Ability to multi-task and quickly adapt and perform in a fast-paced, production-based work environment.
– Ability to work as a team member, as well as independently.
– Ability to work with little supervision.
– Excellent organizational, written, and verbal communication skills
Preferred Requirements
– Bachelor’s Degree preferred
– 3+ years of related experience consulting within designated function
– Prior experience in Utilization Management preferred.
– Knowledge of health regulations, guidelines, and coverage issues
– Knowledge of statistical terminology and use of statistics
Home Office Requirements:
– Candidates must have their own cell phone.
– Maximus provides company-issued computer equipment
– Reliable high-speed internet service
– Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
– Minimum 5 Mpbs upload speeds