USRN Utilization Nurse

2 days ago


Taguig, National Capital Region, Philippines AUMTREND PH INC Full time ₱900,000 - ₱1,200,000 per year

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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