Healthcare Utilization Review Specialist

4 weeks ago


Rocklin, California, United States EK Health Services Inc Full time
Position Overview

Job Title: Utilization Review Health Care Professional

Company: EK Health Services Inc

Role Summary

Are you passionate about healthcare and skilled in analyzing medical data? As a Utilization Review Health Care Professional, you will utilize your clinical expertise in a supportive, non-clinical environment. This role is essential in evaluating the necessity and appropriateness of healthcare services.

Key Responsibilities
  • Assess medical necessity and appropriateness of healthcare services.
  • Engage in comprehensive analysis of medical information.
  • Utilize computer systems to navigate multiple platforms effectively.
Work Environment

This position fosters a supportive and family-oriented atmosphere, promoting a healthy work-life balance with a standard Monday to Friday schedule.

Compensation and Benefits
  • Competitive starting pay of $30-32 per hour, based on qualifications.
  • Comprehensive medical, dental, and vision insurance.
  • Generous paid time off and holiday benefits.
  • 401K retirement plan.
Qualifications
  • Must be a graduate of an accredited nursing, chiropractic, or related medical program (RN, DC, PT, DPT, LVN, OT, LAc).
  • Possess a valid state-specific license in good standing.
  • Demonstrate professional and technical skills relevant to the role.
  • Prior experience in Utilization Review or Workers' Compensation is preferred but not mandatory.
  • Excellent written and verbal communication skills.
  • Proficient in computer applications including MS Word and MS Excel.


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