Utilization Review Nurse (USRN)

Nezda is currently hiring for Utilization Review Nurse (USRN). 

✅ 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 

▶️ Send your resume to: gerald.rubio@nezdaglobal.com.
▶️ Apply through the link: https://nezdaglobal.com/jobs/utilization-review-nurse-usrn/.

Job Category: USRN
Job Type: Full Time
Job Location: Cebu

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