Nezda is actively hiring for Utilization Review Nurse – USRN.

โœ… Active and Non-Active USRN License
โœ… With at least 1 Year Clinical or Hospital Experience
โœ… USRN with RN License

Job Description:
๐Ÿ‘‰ We are in partnership to multiple companies for this position, so you have an option and which company fits you best.
๐Ÿ‘‰ Please take note that this is a direct employment with no bond.
๐Ÿ‘‰ Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts.
๐Ÿ‘‰ 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.
๐Ÿ‘‰ 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.

๐Ÿ’ฐ Salary: P50,000 to P70,000

Job Type: Full Time
Job Location: Remote Work

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