Offer summary
Qualifications:
At least 2 years of experience as a Workers Compensation Utilization Review Nurse in a US setting, Must be a registered nurse in the Philippines; USRN licensed is a plus, Ability to research relevant literature, Proficiency with Microsoft Office programs.
Key responsabilities:
- Perform all aspects of Utilization Review for Workers' Compensation and group health peer and independent reviews
- Serve as a liaison between physician reviewer staff and senior clinical leadership
- Quality Assurance of independent and peer reviews prior to client-side submission
- Assist the Case Analyst with administrative tasks during high volume