Utilization Review Nurse

**This position is open only to Philippine Registered Nurses**

Monitoring patient care quality and managing healthcare costs for insurance companies and other payers is the primary objective of a utilization review nurse. This position offers the opportunity to work in inpatient or outpatient care settings. Responsibilities involve thorough review of medical records for both positions. Before a service such as surgery, you can perform a prospective review or conduct a concurrent review during hospitalization. This review will contain details about the patient and the treatment they received. Review takes place post-discharge.

Requirements:
Candidates must possess a PH RN license.
A bachelor’s degree in nursing.
At least two years of experience in the clinical setting
Familiarize with insurance company review standards is preferred but not required.

Please email your resume to: ---------- with the subject Application for Utilization Reviewer