Utilization Review Clinician - RN - Remote
WellSkyFull Time
Senior (5 to 8 years)
Candidates must hold a Board Certification in Physical Medicine & Rehabilitation and Pain Management and be actively practicing medicine. They must also maintain proper credentialing, state licenses, and any necessary special certifications or requirements to perform the job. Active practice is required.
Physician Reviewers will utilize clinical expertise to review disability claims and provide interpretations of the medical necessity of services. They will review all medical records, address client questions using specific criteria, and ensure rationales are clear and well-supported. Responsibilities include identifying and critiquing relevant criteria, providing copies of utilized criteria, returning cases on time, making mandated telephone calls, and attending required training. Additional duties may involve responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.
Specialty coffee shop with efficient service
Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.