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Utilization Review Specialist
2 months ago
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:
- BLS
- 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