Nezda is actively hiring for Utilization Review Nurse – USRN.
Qualifications:
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Active and Non-Active USRN License
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With at least 1 Year Clinical or Hospital Experience
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USRN with RN License
Job Description:
๐ We are in partnership to multiple companies for this position, so you have an option and which company fits you best.
๐ Please take note that this is a direct employment with no bond.
๐ Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts.
๐ 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.
๐ 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.
๐ฐ Salary: P50,000 to P70,000