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Utilization Review Assistant Jobs in Fall River, MA

Gosnold

Assistant Director of CSS

West Falmouth, MA · On-site

$95K - $105K/yr

The Assistant Director of CSS oversees clinical reviews to monitor patient progress while ... Participate in utilization review activities in conjunction with other departments to ensure that ...

Brown University Health

Social Worker BSW

Riverside, RI · On-site

$50K - $83K/mo

... order to assist in resolving identified issues.Develops a service plan and provides services to ... For Coordinator positions involving utilization review activities, experience with managed care ...

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Utilization Review Assistant information

What is a utilization review assistant?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What skills and qualifications are needed to be a utilization review assistant?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

What does a utilization review assistant do?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What are popular job titles related to Utilization Review Assistant jobs in Fall River, MA? For Utilization Review Assistant jobs in Fall River, MA, the most frequently searched job titles are:
What cities near Fall River, MA are hiring for Utilization Review Assistant jobs? Cities near Fall River, MA with the most Utilization Review Assistant job openings:
Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Fall River, MA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Nurse Practitioners, Behavioral Health - Massachusetts

Olesky Associates

Middleborough, MA

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 21 days ago

Job description

Company Description

Olesky Associates, Inc. has been in the placement / recruiting industry for three decades.

We offer an extensive array of services, ranging from physician placement to practice and hospital brokering.

Our Search Consultants located in our home office in Massachusetts utilize a state-of-the-art computer network and database that allows instant access to all of the information necessary for mutually beneficial placements throughout the country.

This technology, combined with our personal attention and expert screening of each candidate, has made our agency extremely successful in the placement of all specialties, including:

  • Family Practitioners
  • Internists, Pediatricians
  • OB/Gyns
  • Emergency Medicine
  • Psychiatrist
  • Nurse Practitioners
  • Hospitalist
  • Dermatologist
  • Oncology / Radiology
  • All medical specialties
  • All surgical specialties
  • LCSW / LICSW/ LMHC / BCBA
Job Description

Psych Nurse Practitioners Needed, Brockton, Salem, Middleboro, Taunton, New Bedford and Plymouth, MA- Several opportunities, New Grads Welcome to Apply


We are currently recruiting several psychiatric nurse practitioners / nurse practitioners with behavioral healthcare and/or addiction medicine experience in several areas of MA


The Practitioner will provide direct services to clients which will include but not limited to evaluations of clients; Individual, group and/or family counseling, crisis management, prescribe medications; medication management, aftercare planning Examining patients, conducting mental health assessments, developing and monitoring plan of care for patients, and working with members of the integrated team of professionals.



Comply with all chart documentation in a timely manner; Participate with Multidisciplinary Treatment Team and Utilization Review; Assist in development and updating of clinical and psycho- educational programs; Develop community contacts and collaboration with other organizations as needed; Order laboratory and other special diagnostic tests and evaluate data obtained.


These opportunities Provide Excellent Salary and Full Benefits Packages including, Health/Dental/Vision/Life Insurance, Generous PTO, M-F Schedules with No Call, Weekends or Nights, CME Time & Allowance, License Fees & Renewals plus much more



Contact Jerome at Olesky associates to be considered for one of these fabulous opportunities



Additional Information

All your information will be kept confidential according to EEO guidelines.

Apply