Mitchell International, Inc.

  • Nurse Reviewer, Utilization 3

    Job Location US-CA
    Job ID
    Regular Part-Time
  • Company Overview

    Instructions: Include the main paragraph that describes Mitchell and then keep one of the remaining paragraphs below if your position sits within WCS or PS. Delete the paragraph or both if they aren’t relevant as well as these instructions before posting.


    Mitchell International, Inc. is a leading provider of information and workflow solutions to the Property & Casualty Claims Industry and their supply chain partners. We solve interesting and complex problems that directly affect the customers our clients serve. We are constantly adapting to stay on the forefront of emerging technologies and we work diligently to maintain our position as a thought leader within our industry.



    Job Description




    ACS (third party)


    As a Nurse Reviewer with Mitchell you will perform utilization review on various Third Party auto insurance related retrospective treatment referrals.  You will read complete medical claim files and construct a summarization and analysis of the treatment rendered to the injured party. You will communicate with claims adjusters at times and bill review team members to ensure adequate application of any appropriate guidelines and reviews decisions. You will apply nursing knowledge and utilize medical review criteria and solid clinical judgment to ensure treatment approved is medically necessary. You will also act as a point of contact for escalated customer concerns.  




    ACS (third party)

    • Knowledge: You are a seasoned, experienced professional with a full understanding of utilization review. You will work one case at a time with approximately 23-30 cases a month. A clinical background related to trauma, orthopedic, physical and rehabilitation nursing is a plus.
    • Experience: Mitchell’s Nurse Reviewers are Registered Nurses and will typically have at least 3 years clinical experience and one year within utilization review.
    • Written Abilities:  Proficient grammar, sentence structure and written communication skills required.
    • Licenses or Certifications: You must be a registered nurse (RN). Having certifications within Legal Nurse Consulting and CPC are a plus.

    *Requires DSL, fiber or cable internet connection from home. 1 mbps preferred or better.*

    Mitchell International, an equal opportunity employer, values the diversity of our workforce and the knowledge of our people.  Mitchell will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.


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