Utilization Management US RN Sr Analyst

Gratitude Inc

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1 day ago

Utilization Management US RN Sr Analyst

1-25 Year(s)

40 - 70 Thousand p.m

Manila (Taguig)

Job Description

Key Skills

Senior Analyst Utilization Management

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WORK SET UP: Full On-site in Uptown BGC, Taguig

WORK SHIFT: Shifting schedule

Salary budget: 40K to 70K

There is an attractive signing bonus of up to Php 100,000. (Terms and Conditions apply)

Minimum Requirements:

• Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or Basic Bachelor of Science (BSC) in Nursing degree or Associate Nursing Degree or Nursing Diploma

• Holds a current and unrestricted US Registered Nurse license is required

• 3 months clinical experience (480 hours of working experience as a RN)

• Must have at least one year of Utilization Management experience.

• Work experience as an active RN license and providing direct patient care

• Clinical setting includes inpatient hospital, outpatient hospital or community clinic

• No state license required

• Should be able to start by December 2025

• Ready to work full onsite in Taguig

• Open for those applicants who are currently in Philippines and already have the right to live and work in this country are eligible for this role

• Should not be a job hopper who only works for less than a year per company

Job Description:

• Grievance & Appeals

• Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation.

• Creates a detailed case summary in narrative format for each appeal.

• Submits cases as directed for each applicable geographic region.

• Presents verbal and written case summaries to client’s Grievance Team and client Medical Directors.

• Completes assignments within client-designated turnaround times.

Interested and qualified Candidates should send their CV to esther.igweonu@gratitudeindia.com

Role

Any Other

Timings

Rotational Shifts (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Any Other

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