USRN Utilization Nurse
2 days ago
Key Responsibilities
Review patient records and provider notes to validate clinical necessity
Complete prior authorization forms and submit to payers via online portals or fax
Follow up on status of submitted requests and escalate delays appropriately
Maintain documentation accuracy and compliance with turnaround time requirements
Requirements
Active USRN license
Minimum 4 years of experience in utilization management or triage
Familiarity with U.S. healthcare and payer systems
Detail-oriented with strong communication and documentation skills
Job Type: Full-time
Benefits:
- Health insurance
Ability to commute/relocate:
- Taguig: Reliably commute or planning to relocate before starting work (Preferred)
Application Question(s):
- Notice Period:
- Current and Expected Salary:
License/Certification:
- USRN Certificate (Preferred)
Work Location: In person
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