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.
Mitchell’s worker’s compensation national managed care program offers solutions for insurance carriers, third-party administrators and employers. We recommend an integrated suite of solutions that include utilization review and case management with a focus on managing total claims costs while expediting safe return to work.
Mitchell’s Pharmacy Solutions division provides critical Pharmacy Benefit Management solutions to hundreds of workers’ compensation and auto insurance carriers, administrators and employers in the United States, as well as connects with over 65,000 pharmacies to provide injured patients with access to prescription medicines. Our mission is to provide our customers with better claim outcomes and help patients restore their lives after a workplace or automobile accident. Mitchell’s Salt Lake City office includes over 200 associates who work directly with pharmacies and payers to process over 1 million pharmacy transactions each year. Mitchell is the fastest growing pharmacy solutions provider to the U.S. property and casualty industry and is rapidly growing its Salt Lake City office location. The company offers a competitive compensation and benefits package including health insurance, 401(k), disability protection and tuition reimbursement. Our associates enjoy excellent career growth opportunities in a collaborative and engaging professional office environment that includes an onsite gym, full cafeteria and available on-site day care for children.
Performs utilization review on workers compensation related prospective, concurrent and retrospective treatment referrals. Applies medical review criteria and uses solid clinical judgment to ensure treatment approved is medically necessary. Forwards treatment requests for physician reviewer that cannot be approved as medically necessary based upon application of medical review criteria and solid clinical judgment and provides QA review of completed physician reviews.
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)
*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.