Utilization Review Clinician
WellSkyFull Time
Mid-level (3 to 4 years)
Candidates should possess a medical degree and a valid license in North Carolina, Texas, Minnesota, or New Mexico, along with any specialty certifications relevant to the specified physician specialties, including Radiation Oncology, Cardiology, Rheumatology, Ophthalmology, Otolaryngology, OB/GYN, and Hematology/Oncology.
The Physician Reviewer will utilize clinical expertise to review insurance appeals and prospective/retrospective claims, providing interpretations of medical necessity in compliance with client policies, evidence-based guidelines, and standards of care. They will ensure clear and concise rationales with adequate supporting documentation, identify and utilize relevant criteria and resources, and deliver reports within established deadlines while maintaining proper credentialing and addressing quality assurance issues.
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.