Utilization Review Specialist Needed

Job Title: Clinical Utilization ReviewerEvaluate and screen potential admissions to our healthcare facility. This entails conducting thorough assessments of patients to ensure they are receiving the appropriate level of care for their condition.The goal is to assess the medical necessity of services provided, ensuring that treatments align with patient needs...

We are looking for a responsible and hardworking Utility Worker to join our team. The role is vital in ensuring cleanliness, orderliness, and support in various office and facility needs.Qualifications:At least High School graduateWith experience in utility/housekeeping work is an advantageTrustworthy, reliable, and able to follow instructionsPhysically fit...

Utilization Management Specialist About the Role:We are seeking a highly skilled Utilization Management specialist to join our team. The ideal candidate will have expertise in assessing and interpreting customer needs, requirements, and medical records. Key Responsibilities:Review medical claims for medical necessity.Develop and implement effective...

Utilization Review Specialist Role OverviewThis role is centered on assessing and interpreting customer needs, requirements, and medical records to ensure accurate and efficient review of medical claims.Key Responsibilities:Assess and interpret customer needs, requirements, and medical recordsReview medical claims for medical necessityAs a Utilization Review...

High school diploma or equivalent preferred.Prior experience in a utility, janitorial, or maintenance role is an asset.Ability to lift 50+ pounds and perform physical tasks for extended periods.Basic knowledge of cleaning chemicals and safety practices.Willingness to work flexible hours, including weekends or holidays if needed.Forklift certification (if...

Key Responsibilities:Perform general maintenance and minor repairs (e.g., light bulbs, clogged drains, appliance troubleshooting).Support turnover of vacation rental units between guest stays, including moving trash, assisting with laundry, and resetting furniture or décor.Conduct property checks before and after guest stays to ensure cleanliness,...

Utility Infrastructure ExpertAbout the Role:We are seeking a highly skilled professional to lead detailed inspections of overhead utility infrastructure. The successful candidate will have strong leadership, analytical, and problem-solving skills, as well as excellent written and verbal communication abilities.The ideal candidate will have 4+ years of...

Job SummaryWe are seeking a highly skilled and detail-oriented Clinical Review Expert to support our Residential, PHP, and IOP levels of care.This individual will be responsible for conducting clinical reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.Main ResponsibilitiesConduct thorough clinical reviews...

Job Title: Healthcare SpecialistWe are seeking a highly skilled and experienced Healthcare Specialist to join our team. The ideal candidate will have a strong background in healthcare, excellent communication skills, and the ability to work independently.Job Description:The successful candidate will conduct clinical reviews of cases not meeting criteria by...

Job Title: Clinical Review SpecialistAbout the JobWe are seeking a highly skilled Clinical Review Specialist to join our team.The successful candidate will be responsible for assessing and interpreting customer needs, requirements and medical records.Key Responsibilities:Reviews medical claims for medical necessityAssesses and interprets customer needs,...