Healthcare Utilization Review Nurse

1 week ago


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

We are a leading provider of business process outsourcing solutions, dedicated to delivering exceptional services to our clients.

About the Role

This is an exciting opportunity for a skilled and motivated US Registered Nurse (USRN) to join our team as a Utilization Review Nurse. As a key member of our healthcare team, you will play a crucial role in ensuring the efficient and effective management of medical claims.

Key Responsibilities:
  • Communicate with physicians to ascertain their plans for timely discharge and ensure that patients receive the necessary care.
  • Handle inbound and outbound calls from patients and healthcare providers, providing timely and compassionate support.
  • Analyze and determine the eligibility of medical claims, ensuring compliance with regulatory requirements.
Requirements:
  • Active US license and PRC license.
  • 1 year of hospital experience, preferably in a utilization review or case management role.
What We Offer:
  • A competitive salary range of $60,000 - $80,000 per annum, depending on experience.
  • The opportunity to work from home, enjoying better work-life balance and flexibility.
  • Fixed weekends off, allowing you to recharge and pursue your interests.
  • A supportive and collaborative team environment, committed to excellence and innovation.
Why Choose Us?

We offer a unique blend of challenge, reward, and personal fulfillment, making us an attractive choice for talented professionals like you. If you are passionate about delivering exceptional patient care and want to be part of a dynamic and growing organization, we encourage you to apply.



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