Utilization Review Nurse | US Registered Nurse
What we offer?
₱50,000 – ₱65,000 Competitive Salary
Retirement/Life Insurance Plan.
₱100k to 200k Signing Bonus
Medical Plan (HMO on Day 1)
Work From Home
Free License Renewal
Free IELTS Training
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition.
Consults with medical and treatment staff regarding client diagNosis, medical justification, length of treatment, and case documentation.
Communicate with physicians to ascertain their plans for a timely discharge.
Handle inbound and outbound calls from patients and healthcare providers Analyze and determine the eligibility of medical claims.
Coordinate with providers and specialists in assessing the validity of claims.
Must be an NCLEX Passer
Active US License is required for USRN positions (Illinois license is a major plus)
Active PRC License
With at least 1 year of Hospital Experience
Must be willing to work Graveyard shifts.
Permanent work-from-home agents must be willing to go onsite for client visits / short training.