Remote Prior Authorization Rn Jobs in Richmond, VA

The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case basis using nationally recognized standards of care to facilitate treatment goals. The position is an essential role, requiring the ability to work a variety of shifts to cover 24/7 duties including evenings, nights, weekends and holidays.

Candidates must reside in a nursing compact state.

This role requires internet upload and download speeds of at least 80Mbps.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Provides telephonic assessment and makes treatment recommendation of injured workers using national telephonic triage protocols
• Recommends appropriate provider, based on state law and employer’s preferred provider network requirements
• Educates caller on self-care instructions in accordance with national telephonic triage protocols
• Communicates plan of care to customer contacts and/or supervisor
• Evaluates injured worker’s response to first aid recommendations within a specified timeframe
• Documents clinical assessments in organized, concise format and submits written reports within a specified timeframe
• Obtains and maintains licensure as a Registered Nurse in 50 states and the District of Columbia
• Additional duties as assigned

KNOWLEDGE & SKILLS:

• Fundamental concepts, practices and procedures of triage in the field of Workers’ Compensation (WC)
• Ability to solve problems rapidly and handle medical emergencies over the phone
• Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet deadlines and maintaining strong customer service orientation
• Excellent verbal and written communication skills
• Strong interpersonal skills
• Great attention to detail, and results focused
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets

EDUCATION & EXPERIENCE:

• Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)
• Current RN licensure in Nurse Licensure Compact (NLC) state with multistate designation
• 3 or more years of clinical experience in occupational medicine, urgent care, emergency room, home health care (Telephone triage/Workers’ Compensation experience preferred)
• Microbiology required

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.

Pay Range: $25.48 - $41.09 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

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.

ABOUT CORVEL

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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