Utility Specialist in Nevada

The UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures.

• Performs concurrent and retrospective reviews on all patients. Monitors level and quality of care.
• Responsible for the proactive management of patients with the objective of improving quality outcomes and decreasing costs.
• Evaluates and provides feedback to treating physicians regarding a patient’s discharge plans and available covered services, including identifying alternative levels of care that may be covered.
• Monitors all utilization reports to assure compliance with reporting and turnaround times.
• Addresses care issues with the Director of Clinical Services and Chief Medical...

The UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures.

• Performs concurrent and retrospective reviews on all patients. Monitors level and quality of care.
• Responsible for the proactive management of patients with the objective of improving quality outcomes and decreasing costs.
• Evaluates and provides feedback to treating physicians regarding a patient’s discharge plans and available covered services, including identifying alternative levels of care that may be covered.
• Monitors all utilization reports to assure compliance with reporting and turnaround times.
• Addresses care issues with the Director of Clinical Services and Chief Medical Officer/Medical Director as appropriate.
...

Our Company

Congo Brands is at the epicenter of where consumer demand meets product development. Through brand partnerships with lead influencers, we are afforded an inside look at what consumers truly desire. Congo Brands is a health and wellness brand that sells supplements, fitness snacks, hydration drinks, energy drinks, and more through ecommerce and retail partnerships. Congo Brands houses some of the World’s most noted brands including Alani Nu, Prime Hydration, and 3D Energy. Congo Brands is on pace to become one of the World’s most noted consumer product companies, with revenue growth increasing exponentially year over year. Congo Brand’s goal is to be the go-to ‘Better for You Brand’ for everything from ready-to-drink beverages, snacks, supplements and more.

The Role

The Warehouse Driver plays a vital role in ensuring the smooth flow of products within our warehouse and timely, efficient deliveries to our valued...

Our Company 

Congo Brands is at the epicenter of where consumer demand meets product development. Through brand partnerships with lead influencers, we are afforded an inside look at what consumers truly desire. Congo Brands is a health and wellness brand that sells supplements, fitness snacks, hydration drinks, energy drinks, and more through ecommerce and retail partnerships. Congo Brands houses some of the World’s most noted brands including Alani Nu, Prime Hydration, and 3D Energy. Congo Brands is on pace to become one of the World’s most noted consumer product companies, with revenue growth increasing exponentially year over year. Congo Brand’s goal is to be the go-to ‘Better for You Brand’ for everything from ready-to-drink beverages, snacks, supplements and more. 

The Role 

The Warehouse Driver/Utility Spcialist plays a vital role in ensuring the smooth flow of products within our warehouse and...

The UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures.

• Performs concurrent and retrospective reviews on all patients. Monitors level and quality of care.
• Responsible for the proactive management of patients with the objective of improving quality outcomes and decreasing costs.
• Evaluates and provides feedback to treating physicians regarding a patient’s discharge plans and available covered services, including identifying alternative levels of care that may be covered.
• Monitors all utilization reports to assure compliance with reporting and turnaround times.
• Addresses care issues with the Director of Clinical Services and Chief Medical Officer/Medical Director as appropriate.
...