Utilization Review Nurse - Philippines

Para lamang sa mga rehistradong miyembro Philippines, Pilipinas

3 araw ang nakalipas

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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,

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