Proven Alcohol & Drug Addiction Treatment Programs
Utilization Review Specialist
Location
United States
Posted
1 day ago
Salary
0
Seniority
Mid Level
Job Description
Utilization Review Specialist
Bradford Health Services
• Review and analyze medical records, treatment plans, and clinical documentation to assess the necessity and appropriateness of healthcare services. • Coordinate with healthcare providers, insurance representatives, and case managers to obtain additional information and clarify treatment details. • Make informed decisions regarding authorization, continuation, modification, or denial of services based on clinical guidelines and regulatory requirements. • Maintain accurate and detailed records of utilization review activities, decisions, and communications in compliance with organizational policies and legal standards. • Stay current with evolving healthcare regulations, payer policies, and clinical best practices to ensure consistent and compliant review processes.
Job Requirements
- Bachelor’s degree in a healthcare or related field.
- At least 2 years of experience in utilization review, case management, or clinical healthcare roles.
- Strong knowledge of medical terminology, clinical procedures, and healthcare regulations.
- Familiarity with insurance authorization processes and healthcare reimbursement models.
- Excellent analytical, communication, and organizational skills.
Benefits
- Medical Coverage – Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.
- Expanded Coverage – Options for domestic partners and a wider network of in-network providers.
- Mental Health Support – Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.
- Voluntary Coverages – Pet insurance, home and auto insurance, family legal services, and more.
- Student Loan Repayment – Available for nurses and therapists.
- Retirement Benefits – 401(k) plan through Voya to help employees plan for the future.
- Generous PTO – A robust paid time off policy to support work-life balance.
- Voluntary Benefits for Part-Time Employees – Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.
Related Guides
Related Categories
Related Job Pages
More General Jobs
Transcription Specialist – Burmese
AppenAppen is your trusted data partner, powering cutting-edge AI applications for the world's most innovative companies.
• Review audio files and transcribe spoken content accurately • Refine transcripts to ensure high-quality data • Transcribing audio recordings into text with high accuracy • Capturing speech exactly as spoken, including pauses, filler words, repetitions, and incomplete sentences • Adding timestamps to match the audio • Identifying and labeling different speakers in conversations • Marking non-speech events such as laughter, background noise, or unclear audio
Field Admissions Representative
Universal Technical InstituteIt’s all about reputation. 60 years of experience, trusted by 35+ industry-leading brands, 16 campuses, and 16 technical programs. But it’s not all about the numbers. Here at Universal Technical Institute and its family of schools, we care about YOU. We care about making a change in the lives of our employees and our students. We’re on a mission to expand our reach and increase our impact, one life at a time and that starts with yours...Come and be a part of our legacy!
Role Description Do you enjoy helping individuals achieve their educational and career goals? As a Field Admissions Representative you’ll have the opportunity to interact with a diverse range of individuals. Every day brings new faces and new stories, making the job dynamic and exciting. You’ll have the flexibility to manage your schedule and work independently. If you enjoy traveling, this role offers the chance to explore different neighborhoods, cities, and regions within your designated territory. The Field Admissions Representatives finds passionate and motivated students who have a desire to learn and develop their skills at Universal Technical Institute. This role will be responsible for working closely with their local high schools to recruit students and build awareness of Universal Technical Institute and its programs. The Representative will work a territory within a 120 miles radius. The ideal candidate for this position will have a customer-focused, extroverted style that can enliven, engage, motivate, and positively impact individuals. One should enjoy making connections and communicating with people while proactively establishing relationships and must be able to follow established guidelines and procedures. One must also work independently in a fast-paced and results-oriented environment while prioritizing their schedules to maximize time. This is a remote position, however, it will require the candidate to currently live in and commute throughout Austin and the surrounding area. Qualifications - High School degree or GED required. Bachelor’s degree a plus. - Experience with public speaking preferred. - Industry knowledge preferred. - 3 – 5 years outside sales experience preferred. - Strong verbal and written communication skills. Interviews are conducted in person and virtually. - Strong presentation and sales skills are required. - Must have good understanding of Microsoft Office programs. Must be able to analyze and report data. - Builds effective relationships, works independently, ability to work in a fast-paced environment, customer service attitude, self-motivated, organized, ability to manage their territory. Requirements - Develops new relationships and strengthens existing partnerships with dealerships, designated industry partners, High Schools and local communities. - In-person presentation at High Schools. Represents UTI and our programs at other offsite events. - Conducts informative and professional in-home interviews utilizing technical knowledge and skills. Maintains CRM database that will allow for thorough follow-up with potential students. - Presents to all levels of educators in high schools and other educational institutions to encourage their students to attend Universal Technical Institute. - Maintains knowledge of Universal Technical Institute programs, financing options and other pertinent information to answer prospective student questions during a presentation. - Meet or exceed monthly and quarterly department enrollment goals through effective outreach and recruitment efforts. - Adheres to all compliance criteria and procedures established by external regulatory bodies and by UTI. - Other duties as necessary. Benefits - Salary: $75,000 - $85,000 per year. - Tuition Waiver: Enjoy a tuition waiver after 6 months of employment for you AND your immediate family offered at UTI and Concorde campuses. - Paid Time Off: Competitive paid time off programs for employees (Vacation, Sick, Flexible, Holiday). - Retirement Matching: 50% match on the first 6% of your contributions after 90 days. - Paid Parental Leave: 4 weeks of paid leave for both birthing and non-birthing parents to bond with a new baby. - Competitive Insurance: Health, vision, and dental coverage for you and your dependents. - Pet Insurance: Competitive coverage for your furry family members through ASPCA. - Health Plan Enrollment: Eligibility starts first of the month following completing one full month of employment. Company Description It’s all about the reputation. 60 years of experience, trusted by 35+ industry leading brands, 16 campuses, 16 technical programs. But it’s not all about the numbers. Here at Universal Technical Institute and its family of schools, we care about YOU. We care about making a change in the lives of our employees and our students. We’re on a mission to expand our reach and increase our impact, one life at a time and that starts with yours...Come and be a part of our legacy!
Cruise Travel Specialist
Destination CareersWe are a dynamic travel company committed to delivering seamless and personalized travel planning experiences. We specialize in luxury vacations, destination weddings, honeymoons, cruises, and family getaways. Our team thrives on organization, service, and a shared love of travel.
Role Description We are seeking a detail-oriented Cruise Travel Specialist to help clients book unforgettable experiences at sea. From luxury cruises to family-friendly adventures, you’ll guide travelers in finding the perfect itinerary. - Recommend cruise lines, ships, and itineraries based on client preferences. - Coordinate pre- and post-cruise travel, including flights and hotel stays. - Book specialty dining, excursions, and onboard experiences. - Track promotions, upgrades, and loyalty program benefits. - Maintain expert-level knowledge of major cruise lines and destinations. Qualifications - Prior experience booking or selling cruises (preferred). - Strong knowledge of ocean and river cruise options. - Ability to work independently and stay organized. - Excellent customer service and upselling skills. Benefits - Remote role with flexible scheduling. - Cruise-specific travel perks, FAM trips, Hotel & Resort discounts. - Access to exclusive industry tools and support from a dedicated team. - $20,000 - $65,000 a year.
• You will own, build, and run your startup in fields such as Longevity • You will embark on an extensive personal development journey crafted by unicorn founders and follow a fully customised programme enhancing your goal, time, and energy management • You will receive support in hiring through our network to over 50,000 professionals and advice as well as best practices from serial entrepreneurs • You will receive intensive coaching to make your startup ready to raise millions in funding • You will iterate your product with us until having reached product-market-fit and receive support in building up a sales force or creating a marketing engine respectively


