Nursing: RN Specialist opportunity now open!

Due to an upcoming retirement we are currently looking for an experienced Registered Nurse to help us ensure case management process integrity regarding workers' compensation insurance claims. This is a key position within our organization and has a primary emphasis on improving Utilization Management processes, system coordination, and staff development. Our RN Specialist has concurrent quality assurance (QA) and quality improvement (QI) responsibilities for those performance areas and coordinates their efforts closely with our Claims Specialists and Business Teams.

Some of the other focus areas include:

• conducting RN quality assurance monitoring,
• performing focused qualitative file reviews,
• and developing and facilitating technical training for new and existing staff

This position is also considered a technical expert on medical issues as they pertain to our claims. Requirements for this position include excellent written, verbal and presentation skills, the ability to effectively conduct training sessions, extensive knowledge of the Workers' Compensation system (preferred), expert knowledge of medical management and clinical practice guideline applications, and substantial experience with peer review performance management programs.

A Bachelors Degree in related field or equivalent experience on a year for year basis along with 5+ years related experience in Workers Compensation Insurance is preferred along with a substantial background in program and personnel management. A current Colorado license as a Registered Nurse is mandatory. If you are interested in our RN Specialist opportunity please let us know by submitting an application on-line at our company website.