USRN Utilization Review - Taguig, Metro Manila

We are hiring US Registered Nurses (USRN) with Utilization Management (UM) experience to join our growing healthcare operations team in BGC. If you are looking to move into a non-bedside corporate healthcare role while still using your clinical expertise this is for you. · Review ...

We are hiring US Registered Nurses (USRN) with Utilization Management (UM) experience to join our growing healthcare operations team. · Active USRN license · At least 6 months Utilization Management experience · ...

The Utilization Review RN is responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services. These reviews ensure medical necessity, · appropriate length of stay,intensity of service,and level of care,inc ...

The Utilization Review USRN is responsible for performing prospective, concurrent and retrospective reviews of inpatient outpatient ambulatory and ancillary services to ensure medical necessity appropriate length of stay intensity of service and level of care including handling a ...

The Utilization Management Review Nurse reviews the medical necessity and appropriateness of healthcare services and treatments through the medical information of individual patients and the limited insurance coverage available to them. · ...

The Utilization Management Review Nurse reviews the medical necessity and appropriateness of healthcare services and treatments through the medical information of individual patients and the limited insurance coverage available to them. · ...

· Utilization Review Nurse (USRN Only - Dayshift) · About the Role · We are looking for a Medical Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria and U.S. Federal Employee Health Benefit (FEHB) Progr ...

We are looking for a Medical Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria and U.S. Federal Employee Health Benefit (FEHB) Program policies. · ,,Active Philippines Registered Nurse license (valid fo ...

Ista Solutions busca un enfermero con experiencia en gestión de reclamos saludables basados en EE.UU. · Realiza revisiones de utilización (UM) según regulaciones estatales/federales y otras disposiciones mandatorias manteniendo cumplimiento con cambios regulatorios afectando UM. ...

+Job summary · We are looking for a Utilization Reviewer to join our team. · +ResponsibilitiesPerforms Utilization Management (UM) Reviews in accordance with US State/Federal and other mandated regulations. · Reviews UM request for services against established clinical review cri ...

Ista solutions is in search of utilization reviewer to join rapidly expanding team offering competitive salary and benefits health insurance free dependents attendance bonus paid time off convertible cash leave credits performance appraisal work life balance focus growing career ...

Ista Solutions is seeking a Utilization Reviewer to join our rapidly expanding team. · ...

We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, · Collaborate with physicians and other healthcare professionals to ensure accurate documentation is provided to payors · Ensure strict compliance with payer requirements and reg ...

As a Utilization Review Nurse Specialist at MicroSourcing, you will conduct thorough initial, concurrent, and retrospective reviews of patient medical records to determine the medical necessity and appropriate level of care. · At least 1 year of utilization review experience · Cl ...

ISTA Solutions is seeking a Utilization Reviewer to join its rapidly expanding team. · Performs Utilization Management (UM) Reviews in accordance with US State/Federal and other mandated regulations. · Maintains compliance with regulatory changes affecting UM · ...

The Utilization Review Intake Coordinator role involves professional interaction with Nurses and other medical professionals to facilitate the review process. · ...

We are looking for a Utilization Review Nurse who will perform medical necessity review of proposed prospective concurrent and retrospective cases such as medical treatments auto-injury related request hospitalization home care and inpatient/outpatient treatment plans for medical ...

We are seeking a highly skilled and detail-oriented PH Registered Nurse (PHRN) to join our team. · ...

We are looking for a Utilization Review Nurse Specialist to optimize clinical outcomes and control patient care costs. · ...

We are looking for experienced Utilization Review Nurse to join our team. · Conducting comprehensive reviews of patient medical records to assess the medical necessity and appropriateness of the level of care and treatment provided · Collaborating with healthcare providers to ide ...