Nurse Consultant
Core
Provide medical expertise to investigate, evaluate, and resolve injury claims (workers' comp, PIP, liability) and negotiate rates with healthcare providers.
Role type
Senior clinical nurse consultant (case management)
Builds
Clinical programs and procedures for insurance claims resolution
Domain
Insurance / Healthcare
Deliverable
client delivery
Required skills
Medical record evaluation, clinical program development, vendor relationship management, rate negotiation, claims investigation, training delivery
Preferred skills
Orthopedics, neurology, rehabilitation, or trauma care background, case management experience, teaching experience
Technologies
WebEx, Microsoft Office
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