Working remotely, the full-time State Licensed Utilization Reviewer will perform utilization reviews on workers' compensation treatment referrals, ensuring the appropriateness of medical treatment plans and contributing to effective claims management. Key responsibilities Utilizes clinical judgment to determine the medical necessity of treatment requests Collaborates with healthcare providers and stakeholders to gather information for comprehensive assessments Communicates findings through written reports and verbal discussions while staying updated on industry regulations and best practices Required qualifications Doctor of Chiropractic (DC) with a valid license in the state of practice Minimum of 2 years of clinical experience or an advanced degree without experience Knowledge of medical terminology, treatment modalities, and healthcare guidelines Analytical and critical thinking skills for effective decision-making Strong communication and interpersonal skills to liaise with diverse stakeholders