Zurich Career Canada – Registered, Practical Nurse:
The opportunity for Job with dynamic firm Zurich is available for eligible candidates. Zurich Financial Services Group is a global insurance based financial services provider. The company has more than 60,000 employees for serve customers in around 170 countries. In Canada, Zurich has employees in Toronto, Montreal, Calgary, Edmonton, Vancouver and Quebec City for work. The Utilization Review Specialist performs telephonic review of clinical services. You will work for monitors the medical treatment plans of injured parties.
Require Qualifications and experience:
The opportunity for Job with dynamic firm Zurich is available for eligible candidates. Zurich Financial Services Group is a global insurance based financial services provider. The company has more than 60,000 employees for serve customers in around 170 countries. In Canada, Zurich has employees in Toronto, Montreal, Calgary, Edmonton, Vancouver and Quebec City for work. The Utilization Review Specialist performs telephonic review of clinical services. You will work for monitors the medical treatment plans of injured parties.
Require Qualifications and experience:
- Bachelors Degree or Equivalent 3 or More Years of Related Experience
- Must be a registered nurse with a minimum of 3 year clinical experience in medical, surgical, orthopedic, neuro-surgery or psychiatric nursing
- Demonstrated knowledge of medical criteria
- Computer literacy
- CPUR preferred
- Call Center experience is an asset
- Bilingualism (French/English) is mandatory for all Canadian employees
- Reviews and monitors the medical treatment plans of injured parties
- Applies clinical expertise, nursing judgment and established medical criteria to determine medical necessity of care proposed
- Review information in medical record; obtain and review information from patient, physician and other participants in the care of patient; determine whether care of patient is an exception to established criteria for the diagnoses and problems that apply to that patient
- Review process and outcome of medical care by comparing actual care of individual patient with criteria of care established of the appropriate medical service
- May report on any adverse event or product complaint discovered through patient interaction
- Elevate to Medical Director Cases not meeting criteria in a timely manner according to Best Practices
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