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

EK Health Services Inc.

. Perform complete evaluations of medical data for service requests .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in evaluating medical data and determining medical necessity while ensuring compliance with evidence-based guidelines. Proficient in coordinating communication among various stakeholders in a healthcare setting and maintaining a HIPAA-compliant environment.

Highest-signal resume keywords

Registered Nurse (RN) LicenseWorkers' Compensation ExperienceMedical Data AnalysisExcellent Written And Oral Communication SkillsStrong Organization Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Data EvaluationEvidence-Based Guidelines AnalysisInterpersonal CommunicationIndependent WorkManual Dexterity

Soft Skills

Excellent Interpersonal SkillsAbility To Meet DeadlinesProfessional Communication

Tools & Technologies

MS WordMS ExcelEmailHIPAA Compliance

Certifications & Qualifications

Valid State-Specific License

Industry Keywords

Utilization Review (UR)Healthcare CoordinationTeleconferencesCompliance AuditsInjury Management

About the role

Key responsibilities & impact

Perform complete evaluations of medical data for service requests
Collect additional relevant data as needed to determine medical necessity
Analyze collected data according to applicable evidence-based guidelines
Discuss analyzed data and comprehensive plans of care with insurance representatives as needed
Notify providers, requesters, claimants, carriers, and other 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 scheduled teleconferences, staff meetings, and 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
Professional and technical skills required for the role
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 up to 20 lbs.
Able to sit the majority of an 8-hour day except for lunch and break times
Able to keyboard the majority of an 8-hour day except for lunch and break times
Manual dexterity
Able to speak on the telephone intermittently throughout the day
Able to read and write English fluently
Able to provide and confirm a safe, HIPAA-compliant home office environment
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
Fully remote work