NOW HIRING: PHRN – CLINICAL APPEALS / UTILIZATION REVIEW

EPSILON GROUP SERVICES INC.; Manila; Hybrid; PHP 446,000 - 558,000; Full time

Job summary

EPSILON GROUP SERVICES INC. is hiring a Philippine Registered Nurse (PHRN) with clinical appeals and utilization review experience for a role located in Ortigas, Pasig.

The position is initially a temporary work-from-home arrangement with onsite reporting required after the temporary period ends. The ideal candidate has a valid PHRN license, at least 1 year of bedside acute care experience, plus 1 year in inpatient appeals/utilization review and familiarity with InterQual.

Qualifications

• Active and valid PHRN License
• At least 1 year bedside care experience in an acute care setting
• Minimum 1 year experience in Clinical Appeals for Inpatient Denials/Utilization Review
• Experience handling Inpatient and Continued Stay Reviews
• At least 1 year experience using InterQual
• Strong clinical knowledge and documentation skills
• Excellent written and verbal communication skills

Skills

Clinical appeals

Utilization review

InterQual

Communication skills

Documentation skills

Tools

InterQual

Job description

NOW HIRING: PHRN – CLINICAL APPEALS / UTILIZATION REVIEW

Location: Ortigas, Pasig
Work Setup: Temporary Work From Home
Salary: PHP 40,000 – PHP 50,000

We are looking for qualified Philippine Registered Nurses (PHRN) with experience in clinical appeals and utilization review to join our healthcare team.

Qualifications:

• Active and valid PHRN License

• At least 1 year bedside care experience in an acute care setting

  • Clinic experience is not included

• Minimum 1 year experience in Clinical Appeals for Inpatient Denials/Utilization Review

• Experience handling Inpatient and Continued Stay Reviews

• At least 1 year experience using InterQual

• Strong clinical knowledge and documentation skills

• Excellent written and verbal communication skills

Work Setup:

• Temporary Work From Home

• Site is located in Ortigas, Pasig

• Candidates must be willing to report onsite once the temporary WFH arrangement ends

Salary Package:

PHP 40,000 – PHP 50,000