Critical Care PH Registered Nurse

2 weeks ago


Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

ROLE AND RESPONSIBILITIES

The Clinical Appeals Nurse in Optum will ensure defensible and accurate case recommendations for concurrent admission, continued stay, and concurrent denial cases which are then reviewed by a Physician Advisor for completion of the concurrent and/or peer to peer review. They will be working directly with the Physician Advisors utilizing the guidance provided in order to make defensible and accurate case recommendations. Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life's best work. JOB QUALIFICATIONS

Primary Profile

Strong Clinical Knowledge base with a minimum of 2 years of Critical Care bedside experience in a tertiary hospital (local/overseas), (areas: ICU, Critical Care Unit, Telemetry, Cardiovascular Intensive Care Unit, Medical Intensive Care Unit, ER) WHAT WE OFFERTemporary Work At Home (exclusive for candidates who will qualify to Critical Care Account)RN Ready Plus Programs for your CPDFixed Weekends OffPure Non-Voice AccountMarket Competitive Pay LevelsRetirement PlanMedical Plan (HMO) from Day 1 of employmentDental, Medical, and Optical ReimbursementsLife and Disability InsurancePaid Time-Off BenefitsSick Leave ConversionTuition Fee ReimbursementEmployee Assistance Program (EAP)Annual Performance Based Merit IncreasesEmployee RecognitionTraining and Staff DevelopmentEmployee Referral ProgramEmployee Volunteerism OpportunityAll Mandatory Statutory BenefitsWHO WE AREOptum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.We're a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.We're a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.Elevate your career with a leading health care company while improving lives. Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to Caring. Connecting. Growing together
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