Please paste the following URL into a browser to view the entire job posting in the CAPPS Career Section: https://capps.taleo.net/careersection/ex/jobdetail.ftl?job=00039017You may apply to the job directly through the CAPPS Career Section. It is not necessary to apply both through Work In Texas and CAPPS Career Section

　　GENERALDESCRIPTIONPerforms entry-level to routine (journey-level) nursing work for the Awards Section of the Office of the Attorney Generals Crime Victim Services Division. Work involves providing/reviewing medical records/bills for the assessment of crime related care, and treatment of victims. Work involves independently gathering information and verifying the extent of the victims or survivors physical and/or emotional injuries; gathering information from medical providers to determine disabilities and expected future financial losses for the purpose of determining eligibility for reimbursement for claims filed under the Crime Victims Compensation Act. Work also involves utilization review, pre-authorization of treatment and consultation to other staff for the most complex medical claim issues.This position may be eligible for telework up to three days per week once trained. Employees must have a secure, dedicated workspace with Internet service, ability to maintain a reliable consistent work schedule, and be available for weekly meetings and group collaboration via Microsoft Teams and other applications during regular business hours.The OAG is a dynamic state agency with over 4,000 employees throughout the State of Texas. As the States law firm, the OAG provides exemplary legal representation in diverse areas of law. OAG employees enjoy excellent benefits (https://ers.texas.gov/Benefits-at-a-Glance) along with tremendous opportunities to do important work at a large, dynamic state agency making a positive difference in the lives ofTexans.ESSENTIAL POSITIONFUNCTIONSReviews evidence of injury and medical treatment for the purpose of determining if the injury and medical treatment is a direct result of the crime, and that the costs of medical treatment are actual, reasonable, and necessary according to the guidelines established by the Texas Workers Compensation Medical Fee GuidelinesReviews and analyzes evidence of injury to preauthorize treatment and/or services and makes recommendations to team leaders and managementPlans and conducts interviews of physicians and other allied health professionals to clarify complex medical issues concerning the injury or medical treatmentExamines medical bills to determine that the treatment is related to the crime and that the treatment expenses are actual, reasonable, and necessary in accordance with the guidelines established by the Texas Workers Compensation Medical Fee GuidelinesDrafts correspondence to crime victims, claimants, providers of medical services and victim service staffGathers and documents collateral resource information that may be available to the victim/claimantCoordinates with CVSD case manager, and with community resources, attorneys, third party payers, and others related to the claim to manage the claim in the most advantageous way possible for the victimProvides medical subject matter advice and counsel to CVSD staff and external parties on complex medical matters in a claimPerforms related work as assignedMaintains relevant knowledge necessary to perform essential job functionsAttends work regularly in compliance with agreed-upon work scheduleEnsures security and confidentiality of sensitive and/or protected informationComplies with all agency policies and procedures, including those pertaining to ethics and integrityQualifications:MINIMUMQUALIFICATIONSLicensed as a Registered Nurse in the State of TexasExperience: Two years full-time nursing experienceKnowledge of diagnosis codes and proceduresKnowledge of Texas Workers Compensation Medical Fee guidelinesSkill in handling multiple tasks, prio itizing, and meeting deadlinesSkill in effective oral and written communicationSkill in exercising sound judgment and effective decision makingAbility to receive and respond positively to constructive feedbackAbility to work cooperatively with others in a professional office environmentAbility to provide excellent customer serviceAbility to work in person at assigned OAG work location, perform all assigned tasks at designated OAG work space within OAG work location, and perform in-person work with coworkers (e.g., collaborating, training, mentoring) for the entirety of every work week (unless on approved leave)Ability to arrange for personal transportation for business-related travelAbility to work more than 40 hours as needed and in compliance with the FLSAAbility to lift and relocate 30 lbs.Ability to travel (including overnight travel)up to 5%PREFERRED QUALIFICATIONSTwo years full-time claim processing experienceExperience in a victim services or social services agencyKnowledge of the issues of victimization and the victim services delivery system in the State of TexasKnowledge of the principles and practices of utilization review (concurrent, prospective, or retrospective)TO APPLYTo apply for a job with the OAG, electronic applications can be submitted through either CAPPS Recruit or Work in Texas. A State of Texas application must be completed to be considered, and paper applications are not accepted. Your application for this position may subject you to a criminal background check pursuant to the Texas Government Code. Military Crosswalk information can be accessed at:https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_MedicalandHealth.pdfTHE OAG IS AN EQUAL OPPORTUNITY EMPLOYER