Job Description

A global technology services leader is seeking a Utilization Review Nurse to manage clinical reviews for appeals remotely from Manila. This role involves analyzing medical records, ensuring compliance with NCQA standards, and communicating effectively with healthcare providers. The ideal candidate will have 1-3 years of experience and must be a licensed RN. Strong analytic and communication skills are essential. Join a forward-thinking organization and help us improve patient care while enjoying the flexibility of remote work.
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