Critical Care Appeals Nurse - Onsite, Growth & Benefits

Optum, a UnitedHealth Group Company; Metro Manila; On-site; PHP 400,000 - 600,000; Full time

Benefits offered by this job

Fixed Weekends Off

Market Competitive Pay

Retirement Plan

Medical Plan

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Paid Time-Off Benefits

Tuition Fee Reimbursement

Employee Assistance Program

Training and Development

Job summary

Join Optum, a leading health care technology company, as a Clinical Appeals Nurse in Metro Manila. You’ll play a key role in ensuring accurate case recommendations for concurrent admission and reviews with Physician Advisors.

This role requires a strong clinical background with at least 2 years of Critical Care bedside experience. Exciting benefits include fixed weekends off, competitive pay, and comprehensive medical plans from day one.

Qualifications

• Minimum of 2 years of Critical Care bedside experience in a tertiary hospital.
• Active Registered Nurse (PHRN) License required.
• Experience in ICU or Critical Care settings is preferred.

Responsibilities

• Ensure accurate case recommendations for admission and continued stay.
• Work directly with Physician Advisors on case reviews.
• Utilize guidelines provided for defensible case recommendations.

Skills

Clinical Knowledge

Critical Care Experience

Active PHRN License

Job description

Join Optum, a leading health care technology company, as a Clinical Appeals Nurse in Metro Manila. You’ll play a key role in ensuring accurate case recommendations for concurrent admission and reviews with Physician Advisors.

This role requires a strong clinical background with at least 2 years of Critical Care bedside experience. Exciting benefits include fixed weekends off, competitive pay, and comprehensive medical plans from day one.