USRN (Utilization Review)

Work set-up: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Active PHRN and USRN Mainland License., At least 1 year of bedside experience., Preferably experience in Utilization Review or Utilization Management., Good understanding of medical records and claims review..

Key responsibilities:

  • Assess and interpret customer needs and medical records.
  • Review medical claims for medical necessity.
  • Ensure compliance with medical standards and guidelines.
  • Collaborate with healthcare professionals to optimize patient care.

Nezda Technologies Inc. logo
Nezda Technologies Inc. Human Resources, Staffing & Recruiting Scaleup https://www.nezdaglobal.com/
201 - 500 Employees
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Job description

Nezda Technologies Inc. is hiring USRN (Utilization Review) | Virtual Process.

πŸ’°Salary: Up to P55,000 Package + P100,000 Bonus.
πŸ“Œ Work from home.

Qualifications:
βœ… Active PHRN and USRN Mainland License.
βœ… Must have 1 year Bedside experience, preferably with UR/UM experience but not required.

Job Description:
πŸ‘‰πŸ» Assess and interprets customer needs, requirements and medical records.
πŸ‘‰πŸ» Reviews medical claims for medical necessity.

Job Type: Full Time
Job Location: Alabang Quezon City

Required profile

Experience

Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Social Skills
  • Communication

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