Offer summary

Qualifications:

NCLEX Passer with a USRN Mainland license and NMI License., At least 1 year of hospital experience, preferably with clinical bedside experience., Background in Workers Compensation Utilization Management reviews according to URAC standards., Experience in Healthcare Utilization Management Provider Appeals reviews is preferred..

Key responsabilities:

Ensure compliance with URAC standards for inpatient and outpatient services.

Conduct reviews for Workers Compensation Utilization Management and Healthcare Utilization Management.

Manage team dynamics and provide guidance as a subject matter expert.

Work from home with a fixed weekend off and night shift schedule.

In 2014, Nezda started with a vision to be one of the top recruitment companies in the Philippines, fast forward to several years after, we are now one of the largest recruitment firms in Philippines, with offices covering Luzon, Visayas, Mindanao and Malaysia. Nezda is now known to bridge qualified candidates to our network of more than 200 global partners, and is now emerging as one of Southeast Asia’s best recruitment companies.We have established unmatched recruitment services for both candidates and clients through our highly-processed recruitment strategies that assure unparalleled delivery of excellent service in people management.For business inquiries, send a message to BDG@nezdaglobal.com.

Job description

Nezda Technologies Inc. is looking for USRN.

💰 Get up to P100,000 to P200,000 Signing Bonus!
💰 Salary: Up to P65,000

Qualifications:
✅ NCLEX Passer.
✅ USRN Mainland license and NMI License with at least 1 year hospital experience.

Job Description:
👉🏻 Should have active PHRN and USRN Mainland License.
👉🏻 Preferably with 1 year Clinical bedside experience.
👉🏻 Has background in Workers Compensation Utilization Management reviews (Prospective/Concurrent/Retrospective) for Inpatient/ Outpatient services according to the URAC standards and client requirements and/or policies.
👉🏻 Has background in Healthcare Utilization Management Provider Appeals reviews (Prospective/Concurrent/Retrospective) for Inpatient/ Outpatient services according to the URAC standards and client requirements and/or policies.
👉🏻 Open to SME’s with team management and people management background.

Work Setup:
📌 Work From Home.
📌 Fixed weekends off.
📌 Night Shift schedule.
📌 Willing to work on shifting schedule.

Job Type: Full Time

Job Location: Bridgetowne Quezon City Cebu City McKinley Hills Taguig City

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