Utilization Review Nurse

Job Description:The Hanover Insurance Group is seeking a Utilization Review Nurse at our headquarters in Worcester, MA.Responsibilities:Review proposed treatment/care plans for medical necessity/appropriateness, prepare UR files for arbitration, conduct record reviews, participate in departmental quality reviews.Requirements: Registered Nurse with knowledge of utilization review and 3 - 5 yrs UR experience or clinical experience in applicable specialty (i.e., orthopedics, rehabilitation, etc) Effective interpersonal communication and writing skills Strong analytical & problem solving skills Knowledge of medical coding to include ICD-9 and CPT-4 Organizational skills with regard to time management, task prioritization & integration of information from a variety of sources Computer skills to include e-mail, excel, wordBenefits To Joining The Hanover Team: Competitive Pay and Benefits Retirement/401(k) Program Beneficiary and Ability Assist Programs Travel Assistance Program Adoption Benefit Wellness Programs Matching Education Gifts Plan Employee Development/Education Assistance and Professional/Industry Designation Programs Generous "Time Off With Pay"The Hanover Insurance Group, Inc. (NYSE: THG), based in Worcester, Mass., is the holding company for a group of insurers that includes The Hanover Insurance Company, also based in Worcester; Citizens Insurance Company of America, headquartered in Howell, Mich., and their affiliates. The Hanover offers a wide range of property and casualty products and services to individuals, families and businesses through an extensive network of independent agents, and has been meeting its obligations to its agent partners and their customers for more than 150 years. Taken as a group, The Hanover ranks among the top 40 property and casualty insurers in the United States.Minimum Education Required: BachelorYears of Experience Required: At Least 3 YearsExpected Travel Time: None