Nezda is currently hiring for Utilization Review Nurse (USRN).
Qualifications:
✅ Active USRN and PHRN License
✅ With at least 1 Year Clinical or Hospital Experience
Job Description:
📌Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts.
📌Responsible for conducting medical management review activities which require the review of clinical information against client specific criteria as noted above but excludes denial determinations.
📌Consult with clinical reviewers and/or U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.
📍Location: Cebu
💰Salary: P50,000 to P70,000
WAYS TO APPLY:
▶️ Send your resume to: gerald.rubio@nezdaglobal.com.
▶️ Apply through the link: https://nezdaglobal.com/jobs/utilization-review-nurse-usrn/.