Workers’ compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care. You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, and interact with physicians, providers, claimants and peer reviewers as part of the utilization management process.
Requirements:
- Requires a current and unrestricted RN license in the state of Nebraska or that of a compact state, and at least 5 years of clinical experience.
- Familiar with utilization review process, case management, and/or discharge planning.
- Proficient using Microsoft Windows, including Word, Excel, Outlook, how to search for files, and create PDFs.
- Ability to utilize template letters, forms, and creating summaries.
Our Benefits Include:
- 100% employer-paid medical, dental, and vision insurance for employees
- 401(k) plan with 100% immediate vesting and a 4% company match
- Paid time off (PTO) and paid holidays
- On-site pharmacy, Promesa, provides convenient prescription delivery directly to you
- Life, disability, critical illness and accident insurance
- Employee Assistance Program (EAP)
- Pre-tax Flexible Spending Accounts for health, dependent care, and commuter-related expenses
- Tuition reimbursement
- Fitness reimbursement and various additional quality-of-life benefits
Skills Required
- Current and unrestricted RN license in Nebraska or a compact state
- At least 5 years of clinical nursing experience
- Familiarity with utilization review process, case management, and/or discharge planning
- Proficiency using Microsoft Windows, Word, Excel, Outlook, searching for files, and creating PDFs
- Ability to utilize template letters and forms and create summaries
What We Do
Applied Underwriters® is a global risk services firm helping business and people manage uncertainty through its business services, insurance, and reinsurance solutions. As a company, we truly operate differently within our business sector. Every aspect of our products and services are managed under one roof. No outsourcing means we deliver the highest level of service for our customers. Applied Underwriters has one of the highest customer retention rates in the industry - a success directly attributed to our employees and their high level of commitment, hard work, and ambition.
