MEDICOLEGAL ANALYST LAW DEPT Lv2
MEDICOLEGAL ANALYST LAW DEPT Lv2
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Medicolegal Analysts in the Workers Compensation Division are responsible for all medically related issues for medical management of workers compensation claims.
Responsibilities include:
Consult managerial and legal staff in regards to medical necessity of treatment as it relates to injured workers injured sites.
The review and prior approval of medications for claimants work related injuries done telephonically email and through the New York State Workers Compensation mandated prior authorization medication portal. The portal is time sensitive and requires prompt review and response. Any review not made timely may result in an order from the State to dispense medication that may be not related to the claimants job related injury.
Assist examiner and legal staff to determine compensability of treatment as it relates to the claimants work injury and assist with medical case management of claims.
Review and process high value and complicated inpatient billing.
Coordinate with hospital administrators and social workers with the discharge of workers compensation patients and aggressively negotiate rates for subacute and/or home care.
Review independent medical examinations to ensure quality control of reports and verify medical examiners panels for proper credentials.
New York City residency is generally required within 90 days of appointment. However City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau Suffolk Putnam Westchester Rockland or Orange County. To determine if the residency requirement applies to you please discuss with the agency representative at the time of interview.
To Apply
Click APPLY
Qualifications :
1. A valid license as a New York State Registered Professional Nurse and 2 years of satisfactory nursing experience in a hospital environment; or
2. A valid New York State registration as a Physicians Assistant and 1 year of satisfactory experience as a physicians assistant in a hospital environment.
For assignment to the Workers Compensation Division candidates will be required in addition to meeting the minimum requirements to possess an ICD9CM coding certificate or one year of equivalent experience.
Additional Information :
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic including but not limited to an individuals sex race color ethnicity national origin age religion disability sexual orientation veteran status gender identity or pregnancy.
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
