Utilization Review Nurse | UMR | PHRN | Pasay

1 day ago


Southern Manila District, Philippines Access Healthcare Services Manila, Inc. Full time

Overview We are seeking a highly skilled and detail-oriented PH Registered Nurse (PHRN) to join our team. The ideal candidate will have hands-on experience with InterQual , MCG , NCD , and LCD Guidelines. Key Responsibilities Conduct clinical reviews of inpatient and outpatient services using InterQual, MCG, NCD, and LCD criteria. Analyze patient records to determine the medical necessity and appropriateness of services. Collaborate with medical directors and multidisciplinary teams to review complex cases. Ensure compliance with regulatory and payer-specific guidelines. Document and maintain accurate and comprehensive review records. Participate in quality improvement and audit initiatives. Qualifications Active PHRN license At least 1 year of clinical nursing experience in utilization review or case management (preferred). Must have minimum acute bedside experience Proficient in using InterQual and MCG guidelines. Strong working knowledge of NCD and LCD criteria and application. Experience in developing or implementing clinical decision trees or algorithms. #J-18808-Ljbffr



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