Utilization Review Clinician - RN - Remote
WellSkyFull Time
Senior (5 to 8 years)
Candidates must be Board-Certified in Radiology and hold an active Nevada license. An active practice is required, along with maintaining proper credentialing, state licenses, and any necessary special certifications or requirements to perform the job.
Physicians will utilize clinical expertise to review insurance appeals and claims, interpreting the medical necessity of services provided by other healthcare professionals. Responsibilities include reviewing medical records, addressing client questions using specific criteria, ensuring clear and concise rationales for determinations, utilizing evidence-based guidelines and literature, and providing copies of criteria used in reviews. Additionally, reviewers must return cases by due dates, make mandated telephone calls, attend required orientation and training, and respond 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.