Utilization Review Clinician
WellSkyFull Time
Mid-level (3 to 4 years)
Candidates must be Board Certified in Internal Medicine, Family Practice, Physical Medicine & Rehabilitation, Occupational Medicine, Sports Medicine, or General Medicine, and possess current state licenses and any necessary special certifications. Strong clinical expertise and the ability to interpret medical records are essential, along with familiarity with state regulations, guidelines, and URAC guidelines.
The Physician Reviewer will conduct Independent Medical Exams (IME) and Peer Reviews by providing interpretations of the medical appropriateness of services, ensuring compliance with state regulations and guidelines, and utilizing evidence-based criteria. They will also be responsible for reviewing medical records, returning cases on time, maintaining credentialing, attending training, identifying and responding to quality assurance issues, and providing clear and concise rationales for determinations while adhering to established guidelines and avoiding the use of case studies.
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.