USRN / Up to 80,000 salary / MOA site / Start ASAP

5 days ago

Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱60,000 - ₱80,000 per year

We're looking for skilled Utilization Review Nurses (PHRN-USRN) to join our dynamic team and ensure medical necessity, cost-efficiency, and compliance with health plan policies and regulatory standards.

Qualifications

  • Must have active PHRN or USRN license
  • Must have 1 year of experience in utilization review in a healthcare BPO set up
  • Excellent verbal and written communication skills.

Position Summary

As a Utilization Review Nurse, you will evaluate the appropriateness of medical services and procedures based on established clinical guidelines. You'll work collaboratively with physicians, healthcare professionals, and insurance providers to ensure optimal patient outcomes while maintaining cost-effective care.

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