Utilization Reviewer

Utilization Reviewer
Company:

Gratitude Philippines


Details of the offer

Required Qualifications: Bachelor's degree in nursing (BSN)Active unrestricted RN license that can be validated thru PRC website1-2 years of relevant Clinical experience in any medical/surgical department, Orthopedic, Medical/Surgical ICU, Coronary Care Unit (CCU), Rehabilitation, Emergency departmentWritten and verbal fluency in EnglishCandidate 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 SharePointKnowledge 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 neededLeadership/management/motivational skills as well as analytic and strong organizational skillsAbility to work in a team environment and to meet or exceed Performance Competencies


Source: Grabsjobs_Co

Job Function:

Requirements

Utilization Reviewer
Company:

Gratitude Philippines


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