Utilization Review Nurse (Usrn)

Nezda is currently hiring for Utilization Review Nurse (USRN). 
Qualifications: 
Active USRN and PHRN License 
With at least 1 Year Clinical or Hospital Experience 
Job Description:
Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts. 
Responsible for conducting medical management review activities which require the review of clinical information against client specific criteria as noted above but excludes denial determinations. 
Consult with clinical reviewers and/or U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process. 
Location: Cebu
Salary: P50,000 to P70,000 
WAYS TO APPLY:
Send your resume to: .
Apply through the link: https://nezdaglobal.com/jobs/utilization-review-nurse-usrn/.
Job Category: USRN Job Type: Full Time Job Location: Cebu