Night-Shift USRN: Utilization Review Pro (Onsite Training)

EPSILON GROUP SERVICES INC.; Cebu City; On-site; PHP 335,000 - 670,000; Full time

Job summary

EPSILON GROUP SERVICES INC. in Cebu is seeking a USRN with Utilization Review experience for an onsite role. You will review medical records and assess cases against medical necessity guidelines to support clinical decisions.

The position requires active USRN license, strong English communication, and willingness to train onsite in Cebu with a night shift schedule. Work setup transitions from onsite training to work-from-home after training, offering exposure to utilization management processes

Qualifications

• Active USRN license required.
• Registered Nurse with Utilization Review experience.
• Experience reviewing clinical documentation and medical records.
• Knowledge of medical necessity and utilization management processes.
• Strong clinical judgment and analytical skills.
• Excellent English communication skills.
• Willing to train onsite in Cebu.

Responsibilities

• Conduct utilization reviews of medical records.
• Assess cases based on medical necessity and established guidelines.
• Review clinical documentation and patient information.
• Coordinate with healthcare professionals regarding case reviews.
• Ensure accurate and timely documentation of utilization review decisions.

Skills

USRN License

Utilization Review

Clinical documentation

Medical necessity

Analytical skills

English communication

Train onsite Cebu

Night shift

Job description

EPSILON GROUP SERVICES INC. in Cebu is seeking a USRN with Utilization Review experience for an onsite role. You will review medical records and assess cases against medical necessity guidelines to support clinical decisions.

The position requires active USRN license, strong English communication, and willingness to train onsite in Cebu with a night shift schedule. Work setup transitions from onsite training to work-from-home after training, offering exposure to utilization management processes