About this role
Utilization Review Nurse at Medmetrix. Location: Philippines. Role: Reviewing patient medical necessity, Collaborating with providers, Determining initial benefit determinations Requirements: PHRN license required; 1-2 years inUtilization Management; UM criteria (MCG/InterQual); three years nursing in ambulatory/hospital; proficient with Microsoft apps; managed care experience; English communication; able to work holiday/weekend rotations. Category: Healthcare Services - Allied Health Seniority: No Prior Experience Required Tools: Microsoft Office, Web-based applications Certifications: phrn, usrn Commitment: Full Time Workplace: Hybrid Languages: English