Utilization Reviewer

Gratitude Inc

2066 Views

17 hours ago

1-2 Year(s)

₱ 65 - ₱ 70K p.m

Manila (Taguig)

Job Description

Key Skills

BPO Voice Process

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Required Qualifications:

• Bachelor’s degree in nursing (BSN)

• Active unrestricted RN license that can be validated thru PRC website

• 1-2 years of relevant Clinical experience in any medical/surgical department, Orthopedic, Medical/Surgical ICU, Coronary Care Unit (CCU), Rehabilitation, Emergency department

• Written and verbal fluency in English

• Candidate should be willing to work onsite (BGC)

• Candidate should be willing to work in US operation hours

Preferred:

• Proficiency in all Microsoft Office products including Project, Word, Excel, PowerPoint, Visio, and SharePoint

• Knowledge of workers’ compensation laws and regulations, behavioral health, case management practice, URAC standards, ODG, Utilization review, pharmaceuticals to treat pain, pain management process, drug rehabilitation, state workers compensation guidelines, periods of disability, and treatment needed

• Leadership/management/motivational skills as well as analytic and strong organizational skills

• Ability to work in a team environment and to meet or exceed Performance Competencies

Role

Philippines Registered Nurse

Timings

Night Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Process

Voice

Functional Area

ITES / BPO / Customer Service

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