Location
pasay
Job Type
Full-time
Posted
July 16, 2026
Job Description
Job Description
Insurance Health & Wellness
HMO
Job Title: Philippine Registered Nurse (PHRN) – Utilization Management
About the Role:
We are currently supporting a global healthcare and analytics organization in hiring Philippine Registered Nurses (PHRN) to join their Healthcare Operations team. This role is ideal for nurses who want to transition into a healthcare operations environment while still applying their clinical knowledge to support patient care coordination and utilization management.
Key Responsibilities:
- Perform utilization review and assess medical records to determine medical necessity of healthcare services
- Review clinical documentation and ensure compliance with healthcare guidelines and policies
- Coordinate with healthcare providers, insurance companies, and internal teams regarding patient care services
- Evaluate treatment plans and medical procedur...
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