Mds Utilization Review Nurse (Us Healthcare) L-Cm

ISTA Solutions is currently looking for experienced PHRN who have previous experience dealing with US Healthcare Insurance accounts, particularly in Utilization Management. This position entails semi-back-office work dealing with US-based Clients related to Claims, Benefits, Eligibility, Appeals, Prior Authorization, and particularly in MDSUtilization Review. Join our growing team! - Earn up to 60K Monthly! This position is for a Work on-site set-up, selected candidates must be willing to report in Makati. Job Description: Process information based on standard operating procedures, Adhere to the client's process for data delivery and correspondence. Coordinate with respective personnel through calls, emails, etc. Requirements At least 2-Years experience as a Utilization Reviewer / Clinical Nurse Reviewer for a US Healthcare account Must have experience regarding MDS (Minimum Data Set) Must have an active PHRN license (USRN license is a PLUS) Must have Dialysis Training Certification Good working knowledge with Clinical Appeals and Revenue Cycle Management Excellent verbal and written English skills Willing to work onsite in Buendia, Makati Amenable working night shifts Benefits What can we offer you? Competitive salary and benefits Health Insurance with free dependents* 10%-night differential Attendance Bonus Paid time off Convertible to cash leave credits Performance Appraisal Work-life balance A focus on growing your career path with us We encourage you to follow your passions and learn new skills Our commitment to you Strong culture and values-driven leadership We create opportunities for you to learn and grow at any stage of your career Continuous learning and innovation We foster an all inclusive environment where everyone thrives