Utilization Review Specialist

*Must have active LVN or RN license with UM experience to qualify!

Description

Regal need 4 experienced RNs or LVNs to address a backlog in claims retro review, emphasizing the need for candidates with managed care authorization knowledge, detail-orientation, and strong communication skills, with EZCap experience as a plus. Regal is looking to quickly onboard candidates, potentially for permanent roles, to improve team efficiency and address upcoming regulatory changes, and TEKsystems will prioritize candidates with EZCap experience and aim to present qualified resumes for review by the end of the week.

Skills

Data, Customer service

Top Skills Details

Data,Customer service

Additional Skills & Qualifications

Familiarity with inpatient/outpatient claims, productivity, strong written communication, and a coding (CPC cert) is a plus. Experience with "ez cap" software is a plus for faster training, but not mandatory as the process will transition to a custom system called "Ria.". Candidates will prep medical records for medical directors and provide recommendations based on clinical review.

Experience Level

Expert Level

This is a Contract to Hire position based out of Northridge, CA.

The pay range for this position is $35.00 - $50.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a hybrid position in Northridge,CA.

This position is anticipated to close on May 15, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.