Found Description
- Confirming attendance of initial evaluation (IE) and receipt of IE Report
- Reviews documentation and updates cases with accurate clinical information, including but not limited to ICD codes, Date of Surgery, Clinical Guidelines, ROM/Strength measurements
- Initiates review for requested service upon referral
- Review types include Continued Authorizationand Internal Clinical Reviews
- Obtains, compiles, proofs and processes information received from providers/adjusters to aid in the final determination of a clinical reviewer.
- Reviews all assigned cases to provide efficient, cost-effective and quality utilization review services.
- Teleservices:
- Opens new Telerehab cases in the system and participates in scheduling injured workers for Telerehab
- Manages phone calls coming into department through the Telerehab Queue (internal and external calls)
- Monitors and handles Telerehab inbox includi...