RN UR/TCM, Wayne PA - September 24, 2015
I am working from home as utilization review nurse and telephonic case management nurse. This is how I as able to go to school full time evenings to continue my education. Calling on providers offices for medical information to review request such as MRI to follow state guidelines. Since my RN license is in a compact state I am able to working the different states that also have compact licensing. I work closely with the adjuster for the different insurance companies who we are contracted with to determine if claimants need a field case nurse or telephonic case nurse. Communication with the employer, employee and provider to help the injured worker return to work as soon as possible in some work capacity. Most of my work day is on the phone and reviewing state regulation but at the same time I have developed a relationship with the different adjuster and medical staff at the providers office.