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Utilization Review Assistant Jobs in Fall River, MA

Caseworker

South Kingstown, RI · On-site

$44K - $53K/yr

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals,evaluation/utilization review, provide resources, advocacy, perform routine ...

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals, evaluation/utilization review, provide resources, advocacy, perform routine ...

Caseworker

Newport, RI · On-site

$44K - $53K/yr

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals,evaluation/utilization review, provide resources, advocacy, perform routine ...

Caseworker

Providence, RI · On-site

$44K - $53K/yr

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals, evaluation/utilization review, provide resources, advocacy, perform routine ...

Caseworker

Newport, RI · On-site

$44K - $53K/yr

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals,evaluation/utilization review, provide resources, advocacy, perform routine ...

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals, evaluation/utilization review, provide resources, advocacy, perform routine ...

Caseworker

Providence, RI · On-site

$44K - $53K/yr

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals, evaluation/utilization review, provide resources, advocacy, perform routine ...

Caseworker

Pawtucket, RI · On-site

$44K - $53K/yr

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals, evaluation/utilization review, provide resources, advocacy, perform routine ...

Caseworker

Providence, RI · On-site

$44K - $53K/yr

Work collaboratively with integrated team of caseworkers, behavioral assistants and clinicians to develop treatment goals, evaluation/utilization review, provide resources, advocacy, perform routine ...

Showing results 41-60

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:

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.

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago


Reliant Rehabilitation rating

6.3

Company rating: 6.3 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

670th of 887 rated healthcare providers


Job description

Overview

Why Join Reliant Rehabilitation?

Joining Reliant means becoming part of a team that makes a real difference in the lives of patients and residents across a variety of care communities. As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical support, professional development, and growth opportunities.

Our leadership team began their careers as therapists, and we take pride in promoting from within. You'll be supported by a dedicated clinical team that provides ongoing training, proven protocols, and hands-on guidance - ensuring therapy is delivered effectively for patients and in full compliance to support our partners.

With operations in 44 states and more than 900 communities nationwide, Reliant can match your location, schedule, and career goals, wherever your path leads.

 

 

What We Offer:

            Competitive compensation packages

            Medical, dental, vision, and company-paid life insurance

            401(k) with employer match

            PTO Share and Buy-Back Programs

            Maternity and Paternity support program

            Continuing education, mentorship programs and clinical leadership development

            Tuition loan repayment assistance Program

            Flexible scheduling options

#LI-LD1

Responsibilities

Position Summary:

The Director of Rehabilitation (DOR) is responsible for leading and managing the rehabilitation department to ensure resident care needs are met while aligning with the company's financial goals and regulatory requirements. Through effective leadership and strategic oversight of staff, clients, and referral sources, the DOR drives excellence in patient care, employee engagement, customer service, and financial performance. This role upholds professional standards and fosters positive relationships with facility staff and clients, representing Reliant Rehabilitation's commitment to quality and service.

Key Responsibilities:

            Assign patient scheduling and delegate departmental responsibilities to staff as needed

            Supervise, train, evaluate, and support team members to enhance performance and maintain high standards of care, in collaboration with the Regional Director of Operations and Human Resources

            Participate in the recruitment and interview process for departmental staff

            Ensure compliance with Reliant Rehabilitation and facility-specific policies and procedures

            Oversee documentation practices to ensure accuracy, clarity, compliance with payer requirements, and a comprehensive reflection of patient status and outcomes

            Promote collaboration and effective communication across departments to support team cohesion and operational efficiency

            Maintain open communication with facility administration regarding departmental goals, initiatives, risks, and achievements

            Represent Reliant Rehabilitation's therapy services to the public and medical community

            Participate in interdisciplinary meetings including utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning

            Monitor and manage departmental revenue and expenses to meet budgetary targets

            Establish and implement departmental goals and strategies to drive success

            Ensure timely and accurate completion of MDS reporting and billing documentation

            Foster professional growth through collaboration, self-study, and continuing education

            Maintain a valid state license (as applicable) and stay informed on industry trends and regulatory changes

            Provide or oversee therapy services as needed, including resident screenings, evaluations, treatments, and documentation in accordance with state and federal guidelines

            Maintaining confidentiality as appropriate and ensuring compliance with the state practice act in the state(s) where you are licensed.

Qualifications

Qualifications/Licenses:

          Must hold a degree in Physical Therapy, Occupational Therapy, or Speech-Language Pathology from an accredited institution; OR For Rehab Technicians: a high school diploma, GED, or equivalent is required

       (2) years of experience as a Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapy Assistant, Speech-Language Pathologist, or Rehab Tech.

         Must possess a current and active license in one of the following disciplines, if serving as a therapist: Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapy Assistant, or Speech-Language Pathologist

Please note rate range is an estimate and may vary based on skill set and location(s).  

Employment Type: FULL_TIME

What Reliant Rehabilitation employees say

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