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Utilization Review Specialist

2 months ago


Arlington, Virginia, United States eTeam Inc Full time

Job Title: Utilization Review (UR) - Critical Need (REMOTE)

Location: Remote Opportunity

Pay Rate: $55-$60/hour on W2 (Negotiable)

Duration: 24 Weeks

Qualifications:

1 year of experience in Utilization Review (UR) within the last three years.

Certifications:

  1. BLS
  2. State License

About the Role:

eTeam Inc is seeking a skilled Utilization Review Specialist to join our team. As a Utilization Review Specialist, you will be responsible for reviewing medical records and determining the medical necessity of services provided.

Responsibilities:

• Review medical records to determine the medical necessity of services provided

• Conduct thorough analysis of medical records to identify areas of improvement

• Collaborate with healthcare providers to ensure compliance with regulatory requirements

• Develop and implement strategies to improve the quality of care

Requirements:

• 1 year of experience in Utilization Review (UR) within the last three years

• BLS certification

• State license