Remote Utilization Management Nurse

Omega Healthcare Management Services is seeking a Utilization Review Nurse for a full-time remote role. You will evaluate medical necessity, appropriateness, and efficiency of healthcare services using clinical criteria and payer guidelines, review medical records, perform concurrent and retrospective reviews, and collaborate with providers, care teams, and...

Company Description Omega Healthcare Management Services is an AI-driven healthcare solutions company that helps organizations across the healthcare ecosystem improve revenue operations and clinical outcomes. Powered by the Omega Digital Platform, the company combines adaptive intelligence and automation with deep human expertise to enhance performance and...

Gratitude Philippines is hiring US Registered Nurses for a temporary WFH role in the Philippines. The position requires 1 year of collective Utilization Management, CPO, and bedside experience within the last 3 years, plus an active USRN license. The role offers a PHP 55,000 monthly package and a PHP 125,000 sign-on bonus.Shifts are shifting with...

Gratitude Philippines is seeking an Active USRN with Utilization Management and leadership experience to lead a healthcare operations team in a non-voice environment. The role combines clinical knowledge with people leadership to drive results.Expect to coach and guide team members, maintain strong communication, and work on a shifting schedule across...

WFH AFTER REGULARIZATION!We are looking for Philippine Registered Nurses (PHRNs) to join our team as Utilization Review Nurses. If you have strong clinical knowledge, excellent attention to detail, and experience working with medical records and healthcare documentation, we’d love to hear from you!What You'll DoReview medical records, clinical...

Genfinity Philippines, Inc. invites applications for a Nurse Case Management support role based in Makati, Philippines. The position supports US-based WC claims, ensuring compliant clinical-administrative tasks are completed accurately under the Nurse Case Manager guidance.Requirements include an active Philippines and US nursing license, at least one year...

HealthEdge is seeking a USRN Utilization Management professional in Taguig, Philippines. The role focuses on prospective, concurrent, and retrospective reviews to ensure medical necessity and appropriate care levels, with coordination across care teams and discharge planning.Ideal candidates have an active US RN license, 3+ years of clinical nursing, and 2+...

Arboreal Management is seeking a Utilities Specialist for a fully remote role based in Manila. You will manage utility, internet, and telecom accounts for Arboreal's portfolio, ensuring bills are current, autopay is set up where possible, and data flows into accounting correctly.Work with property managers, the accounting team, and owners to resolve billing...

What This Role Is About: We are looking for a Utilities Specialist for a Property management client of ours. Your Main Responsibilities: Support utility related inquiries as escalated internally or via our external partners Provides centralized system support facilitating mitigation, clarification, correction of billing items Uses computerized system for...