Utilization Review Nurse Job at Simon Companies, Modesto, CA

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  • Simon Companies
  • Modesto, CA

Job Description

Job Description

Job Description

Status Medical Management, a leader in California workers’ compensation medical management, is seeking a highly organized and detail-oriented Medical Administrative Assistant to support our Utilization Review (UR) department.

Key Responsibilities:

  • Coordinate and manage incoming treatment requests (RFAs)
  • Input and track UR cases using proprietary and regulatory platforms
  • Summarize clinical documentation for peer reviewers (MDs)
  • Communicate with claims examiners and provider offices
  • Ensure compliance with state timelines and regulatory standards (e.g., DWC, URAC)

 

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