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Company Overview

GENEX Services, Inc. is among the nation's leading providers of cost-containment and fully integrated care management services in the occupational, non-occupational, auto, and group healthcare markets. GENEX clients include self-insured employers, insurance carriers, managed care organizations and third party administrators. Our medical and business professionals provide comprehensive care solutions to clients in the United States, Puerto Rico, and Canada.

Among the managed care solutions GENEX Services, Inc. offers its clients are: aggressive Case Management; nationwide Medical Review; early intervention Social Security Disability representation; and comprehensive Information Management.

GENEX offers a comprehensive compensation and benefits program including a competitive salary and incentive program, medical, dental, life and LTD insurance, 401 (k) with company match and 100% vesting after 90 days of employment and flexible work schedule. In addition, we offer a Continuing Education Program accredited by the certifying boards for CCM, CRC and CDMS for our nursing and vocational positions. EOE M/F/D/V

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Nurse Reviewer RN

Job Description

We are currently seeking a Nurse Reviewer for our Dallas, TX office.

Provide Utilization Management, incorporating the strategies of cost containment and appropriate utilization of services in a cooperative effort with other parties that helps address the issues of healthcare and other medically related services at an affordable cost.

• Responsible for the performance of preparing and reviewing clinical records and claims to develop appropriate responses and determinations focused on Utilization Management
• Work as an intermediary between carriers, attorneys, medical care providers, employers and employees, to obtain goals and objectives of the utilization management process

Job Requirements

• Diploma, A.S. degree or B.S. degree in nursing required.
• 3-5 years clinical nursing experience required.
• Utilization Review/ Case Management and/or Workers' compensation-related experience strongly preferred.
• Experience in hospital bill review preferred.
• Skilled in computer word processing, Windows based is essential.
• Registered nurse with current, valid state licensure required.
•Must have a valid driver's license.
•Excellent interpersonal skills, phone manners and organizational skills are essential.

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