Professional Review Nurse
CorVelCity of Syracuse, New York, United States
Posted October 23, 2025
51807 - 83551 USD year
Full Time
About the Company
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Job Description
The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.
Requirements
- Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and/or direct reporting manager
- Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans
- Utilize clinical and/or technical expertise to address the provision of medical care and identify inappropriate billing practices and errors
- Document work and final conclusions in designated computer program
Benefits
- Medical (HDHP) w/Pharmacy
- Dental
- Vision
- Long Term Disability
- Health Savings Account
- Flexible Spending Account Options
- Life Insurance
- Accident Insurance
- Critical Illness Insurance
- Pre-paid Legal Insurance
- Parking and Transit FSA accounts
- 401K
- ROTH 401K
- Paid Time Off