Utilization Management Review Nurse

MED-METRIX INTERNATIONAL PH-I, INC.

📍 pasig, metro manila, Philippines

Full-time Human Resources

Job Description

Overview

Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix!

Benefits

  • Day 1 HMO with 2 of your dependents covered for FREE

  • Medical Cash Allowance

  • Rice Allowance

  • Clothing Allowance

  • Free Lunch Daily

  • Paid Time Off

  • Training and Staff Development

  • Employee Engagement Activities

  • Opportunities for Internal Mobility

Responsibilities

  • Conducts pre-certification, inpatient, retrospective reviews, in accordance with UM policies and procedures

  • Conducts initial medical necessity reviews. Determines if initial clinical information presented meets medical necessity criteria or requi...

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