Utilization Review Nurse

19 hours ago


Makati City, National Capital Region, Philippines Metacom Business Process Outsourcing Solutions Full time

Work Permanently From Home with Metacom Business Process Outsourcing Solutions

**Job Title:** Utilization Review Nurse

**Job Summary:**

We are seeking a skilled Utilization Review Nurse to join our team. As a UR Nurse, you will perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care.

**Why Choose Us?**

Enjoy Better Work-Life Balance - Work From Home Opportunities are Available plus Fixed Weekends Off

**Job Responsibilities:**

* Communicate with physicians to ascertain their plans for a timely discharge.
* Handle inbound and outbound calls from patients and healthcare providers.
* Analyze and determine the eligibility of medical claims.

**Qualifications:**

* Active US license and PRC license.
* 1 year of hospital experience.

**What We Offer:**

* Competitive compensation package.
* Opportunities for career growth and development.
* Collaborative and dynamic work environment.

**If You're Interested:**

Click "Apply" now to explore this opportunity further.


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