Utilization Management Reviewer

Job Description

Clinical Utilization Management Reviewer

- Earn as much as 30K monthly

- Temporary WFH set-up

- We provide and deliver workstations to your address within Manila and nearby

areas

Qualifications:

Bachelor’s Degree in any Health Sciences Program (Medicine, Nursing, Physical Therapy, Occupational Therapy, Pharmacy or similar)Must be a Philippine Registered Nurse( PHRN) with active licenseMust have relevant years of clinical bedside and BPO experience in any of or similar domains of Utilization Management, Case Management, Disease Management, Wellness, Medical Coding and Billing, Pharmacy Benefits Management, Claims Management in any of the U.S. industry sectors of Workers’ Compensation; Commercial Managed Care; Health, Disability, Life, Property and Casualty Insurance; Accountable Care Organizations (ACO’s) or any other sector wherein the work performed is related to the use of clinical knowledge and skills.

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