Description & Requirements
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:
Other Jobs You May Be Interested In
- Staff RN – Hospital Y5 – Per Diem Nights ID-8205
- Registered Nurse (RN), Start of Care, Home Health, Los Angeles/San Gabriel, Full Time, Days ID-8204
- Registered Nurse – Emergency Room – Full-Time 12 Hour Days ID-8203
- RN III – Clinic ID-8202
- Certified Nurse Midwife, Labor and Delivery ID-8201
- Obstetrics Midwife – $139,356/yearly – $196,623/yearly ID-8200
- Certified Nurse Midwife – Full Time (Riverside) ID-8199
- Nurse Consultant ID-8197
- Clinical Nurse Educator ID-8196
- CLINICAL INSTRUCTOR-R.N. ID-8195
- Diabetes Educator ID-8194
- RN, Educator – Oncology ID-8193
- Oncology Nurse Educator – West ID-8192
- Registered Nurse / Diabetes Program ID-8191
- NURSE EDUCATOR – DIABETES- Full Time ID-8190
- RN – Diabetes Educator ID-8189
- Ambulatory Clinical Nurse Educator – Part-Time ID-8188
- RN, Clinical Educator ID-8187
- Travel Nurse RN – Case Management – $2,213 per week ID-8186
- Travel Nurse RN – Med Surg – $2,016 per week ID-8185
- Travel Nurse RN – CVOR – COVID19 – $2,195 per week ID-8184
- Patient Service Representative-WNY Immediate Care ID-8183
- Remote Registered Nurse (RN) with Flexible Schedule ID-8182
- Nurse Reviewer (Registered Nurse) – Remote in US ID-8181
- Remote Hospice Triage RN- FT 4:30a-11a + rotating Sat & Sun 7:30-4p CST ID-8180
- RN-Registered Nurse, Virtual- Remote ID-8179
- Part Time Adjunct Faculty – Nursing ID-8178
- CNA Theory Instructor- Online Remote ID-8177
- Adjunct Nursing Faculty – Online ID-8176
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- 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.
- 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.
Minimum Requirements
Minimum Requirements:
- Bachelor’s degree with 3-5 years of experience consulting within designated function.
- 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
Medical Nursing Consultant (Remote) ID-8198
