Nurse Utilization- Clinical Analyst; Bilingual Spanish​/English

Nurse Utilization
- Clinical Analyst (Bilingual Spanish/English)

Remote (US) – Full Time – Clinical/Nursing Department – Med Risk

The Nurse Utilization
- Clinical Analyst is responsible for performing telephonic assessments of work-related injuries and illnesses. The nurse will conduct telephone assessments of work-related injuries/illness while utilizing an assessment platform and decision support tool to determine the appropriate treatment recommendation for the injury/illness at hand.

Qualifications

• Active, unencumbered registered nursing license with two years clinical nursing experience.
• Compact RN license required (compact license and reside in a compact state).
• California RN license mandatory (must hold active CA RN license or be willing to obtain upon hire; company to reimburse cost).
• Occupational medicine, ED or UC experience desirable.
• Strong organizational and time management skills; ability to multitask.
• Knowledgeable in computer operations, including Windows OS, data entry skills and 10-key capabilities; at least 30-40 WPM typing speed.
• Excellent oral communication/telephone skills; ability to understand state laws and guidelines.
• Excellent interdepartmental communication; regular communication with intake team.

Responsibilities

• Develop and maintain effective professional relationships with medical providers, claims adjusters and clients.
• Demonstrate excellence in communications to ensure customer satisfaction and retention.
• Apply basic problem-solving skills to ensure early intervention and identification of injuries that benefit from medical case management or to deliver self-care advice during triage.
• Direct recommended care into network providers as applicable.
• Follow up on injury status to advance level of care when necessary.
• Accurately and completely document in file using standard documentation format(s).
• Follow all standards, procedures, and protocols.
• Maintain RN licensure in good standing; maintain overall QA average of 95%.
• Participate in departmental projects and meetings with 80% minimum attendance.
• Adhere to Stratacare policies and procedures; maintain acceptable attendance and tardiness.

Seniority Level – Entry Level

Employment Type – Full Time

Benefits will be provided commensurate with the market.