Utilization Review Nurse Jobs at PM Consulting in Taguig, Metro Manila
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PM Consulting is currently accepting applications for the position of Utilization Review Nurse in the Taguig area. We are actively seeking qualified candidates for this Full-time opportunity.
We are looking for individuals who possess strong skills and have a minimum of beginners/seniors in the field. Along with technical expertise, we highly value qualities such as integrity, discipline, and a strong sense of responsibility in our potential employees.
PM Consulting operates within the (according to the company) industry. If you are interested in joining our esteemed organization, we encourage you to submit your application without delay.
Job Information
| Company: | PM Consulting |
| Position: | Utilization Review Nurse |
| Region: | Metro Manila, Taguig - Metro Manila |
| Education: | Confidential |
| Job Type: | Full-time |
Job Description
Qualifications:
- At least 1 year of clinical experience in utilization management/revenue cycle management
- Bachelor’s degree in Nursing
- Must be a Registered Nurse license in the Philippines
- Excellent communication skills, both written and verbal
- Excellent time management skills and ability to multitask
- Can start ASAP and work 100% onsite in McKinley, Taguig
Responsibilities:
- Provide health care services regarding admissions, case management, discharge planning and utilization review.
- Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria.
- Assist with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
- Notifies attending physician and other members of the health care team of inappropriate admissions, denials, end of authorized days, or other factors that have a reimbursement impact.
- Consults with attending physician when documentation in the medical record does not support admission or continued stay and seeks to ensure completeness of all clinical documentation.
Job Type: Full-time
Salary: Php45,00.00 – Php60,00.00 per month
Benefits:
- Paid training
Schedule:
- Evening shift
- Monday to Friday
Supplemental pay types:
- 13th month salary
- Performance bonus
Experience:
- Utilization Management: 1 year (Required)
Ability to Commute:
- Taguig (Required)
Ability to Relocate:
- Taguig: Relocate before starting work (Required)
Application Requirements
- Good communication skills
- Strong team skills
- Experience in similar work
Company address
| Province | Metro Manila |
| City | Taguig |
| Full Address | PMTC Management Consultancy, 10F Six/NEO Building, 5th Ave, Cor 26th St, Taguig, 1634 Metro Manila, Philippines |
| Google Map | Google Map |
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