Utilization Review Nurse (USRN) – WFH

Nezda is currently looking for Utilization Review Nurse (USRN) – WFH candidates.

✔️ 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: Remote (WFH)
💰 Salary: ₱50,000 to ₱70,000

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


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