Health Care Professional – Workers Compensation (RN, DC, PT, DPT, LVN, OT, LAc)

EK Health Services Inc.

. Perform a complete evaluation of medical data for service requests .

Posted 10/23/2026full-timeRemote • Utah • United StatesMid-LevelSenior💰 $30 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in evaluating medical data and analyzing it according to evidence-based guidelines, while effectively communicating with various stakeholders. Proficient in maintaining compliance and managing information within the healthcare environment.

Highest-signal resume keywords

Registered Nurse (RN) LicenseWorkers' Compensation ExperienceEvidence-Based Guidelines AnalysisExcellent Written and Oral Communication SkillsHigh Comfort Level with Computers

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Data EvaluationData AnalysisCompliance AuditsInterpersonal SkillsOrganization SkillsManual DexterityAbility to Lift 20 lbsKeyboarding SkillsReading and Writing English Fluently

Soft Skills

Excellent Interpersonal SkillsStrong Organization Skills

Tools & Technologies

MS WordMS ExcelEmail

Certifications & Qualifications

Valid State-Specific License

Industry Keywords

Utilization Review (UR)Medical NecessityHIPAA ComplianceTeleconferencesHome Office Environment

About the role

Key responsibilities & impact

Perform a complete evaluation of medical data for service requests
Collect additional relevant data as needed to decide medical necessity
Analyze collected data according to evidence-based guidelines applicable to the claim's jurisdiction
Discuss analyzed data and comprehensive plan of care with the insurance representative as needed
Notify providers, requesters, claimants, carriers, and other legally mandated parties of decisions
Coordinate information among injured workers, physicians, employers, therapists, attorneys, and other parties
Participate in annual work-product audits to ensure compliance
Interact professionally with EKHS staff, the medical community, and EKHS customers in oral and written forms
Work within the scope of practice of an RN, DC, PT, DPT, LVN, OT, or LAc
Participate in teleconferences and scheduled staff meetings/trainings
Perform other duties as assigned

Requirements

What you’ll need

Graduate of an accredited school of nursing, chiropractic, or another related medical program (RN, DC, PT, DPT, LVN, OT, LAc)
Valid state-specific license in the appropriate scope of practice in good standing with no restrictions
Possesses and can demonstrate the professional and technical skills required
Experience in UR; Workers' Compensation experience highly preferred, but not required
Excellent Written and Oral Communication Skills
Excellent Interpersonal Skills
Strong Organization Skills
High comfort level with computers and computer programs (MS Word, MS Excel, Email)
Ability to work independently with minimal supervision
Ability to meet deadlines in a high pressure, time sensitive environment
Ability to lift to 20 lbs.
Candidate must be able to sit the majority of an 8-hour day except for lunch and break times
Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times
Candidate must have manual dexterity
Candidate must be able to speak on the telephone intermittently throughout the day
Candidate must be able to read and write English fluently
Candidate must be able to provide and confirm safe home office environment
Home office must be HIPAA compliant
Requires DSL, fiber, or cable internet connection from home; 100 Mbps preferred or better

Benefits

Comp & perks

Medical, Dental and Vision insurance
401K
Paid Time Off
Paid Holidays
Monthly Internet Stipend