Utilization Reviewer

Taguig, National Capital Region
Posted 4 days ago
Company:
Gratitude Philippines
Company Description:
We At Gratitude Philippines Are Able To Successfully Cater To The Recruitment And Staffing Requirements Of BPO Sector From Onshore To Offshore Locations.We Take Special Care Of Bpo Briefing Process To Gain Maximum Output From The Candidate And Everything The Company Has To Offer. Executive Search Gratitude Philippines Recruitment Services That Help Clients Reduce Cost And Time Associated With Hiring The Right Talent. We Understand That Human Resource Is The Pivotal Element In Success Of Any Business, Thus Our Focus Is On Finding Right Candidates Who Can Contribute To Our Client’s Success. Payroll Management & Staffing Our Comprehensively Vetted Recruitment Process Over 14 Years In The Industry Has Equipped Us To Recruit The Right Candidates For Your Company.Our Pan Philippines Presence And Contract Staffing Facilities Give Unparalleled Access To A Vast Base Of Candidates, Who We Rigorously Screen And Evaluate To Ensure The Right Fit Within Your Organization.
Contract Type:
Full Time
Experience Required:
3 to 4 years
Education Level:
Bachelor’s Degree
Gender:
Any
Number of vacancies:
1

Job Description

Required Qualifications:

• Bachelor’s degree in nursing (BSN)
• Active unrestricted RN license that can be validated thru PRC website
• 1-2 years of relevant Clinical experience in any medical/surgical department, Orthopedic, Medical/Surgical ICU, Coronary Care Unit (CCU), Rehabilitation, Emergency department
• Written and verbal fluency in English
• Candidate 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 SharePoint
• Knowledge 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 needed
• Leadership/management/motivational skills as well as analytic and strong organizational skills
• Ability to work in a team environment and to meet or exceed Performance Competencies

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