USRN Nurse Utilization Management Analyst | Pasig | Temporary Work From Home
ACES
- Pasig City, Metro Manila
- ₱65,000-75,000 per month
- Temporary
- Full-time
- Perform a variety of concurrent review of patient’s clinical information and retrospective utilization management reviews for efficiency
- Evaluate the patient’s situation against the hospital policies, insurance company’s standards and the cost of involved treatments
- Coordinate and communicate with providers, members, or other parties to facilitate optimal care and treatment
- BS Nursing Graduate
- With Active USRN license (Mainland or US territory)
- At least 3 years hospital bedside experience (Emergency, Ortho, Medical or Surgical ward)
- Must have 1 year utilization management experience for inpatient admission and with solid knowledge of Interqual criteria
- Amenable to work on night shift - Fixed weekends off
- Can work from home (has stable internet connection)
- Work from Home
- Retirement Benefit Plans
- Medical / Health Insurance
- Paid Sick Leave
- Performance Bonus
- Recruitment / Signing Bonus
- Paid Holidays
- Paid Vacation Leave
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