Utilization Review Nurse - Philippines
3 araw ang nakalipas

Job summary
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.Responsibilities
- Conducts pre-certification, inpatient, retrospective reviews, in accordance with UM policies and procedures.
- Collaborate with healthcare providers to promote the most appropriate, highest quality member outcomes,
Paglalarawan ng trabaho
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