Clinical Healthcare Professional

18 hours ago


Makati City, National Capital Region, Philippines beBeeUtilization Full time ₱40,000 - ₱65,000
Job Overview

We are seeking an experienced Utilization Manager to fill a key position within our organization. This role requires a valid USRN license and NMI License with at least one year of hospital experience.

Key Responsibilities:
  • Active PHRN and USRN Mainland License required.
  • Clinical bedside experience is preferred but not mandatory.
  • Background in Workers Compensation Utilization Management reviews (Prospective/Concurrent/Retrospective) for Inpatient/ Outpatient services according to URAC standards and client requirements/policies.
  • Experience in Healthcare Utilization Management Provider Appeals reviews (Prospective/Concurrent/Retrospective) for Inpatient/ Outpatient services according to URAC standards and client requirements/policies.
  • Team management and people management background welcome to apply.
Work Setup
  • Remote work arrangement available.
  • Fixed weekends off.
  • Night shift schedule possible.
  • Flexibility to adapt to shifting schedules.


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