Nezda is currently looking for Utilization Review Nurse (USRN) – WFH candidates.
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: Remote (WFH)
Salary: ₱50,000 to ₱70,000
WAYS TO APPLY:
Send your resume to: gerald.rubio@nezdaglobal.com. Apply through the link: https://nezdaglobal.com/…/utilization-review-nurse…/.