PHRN - Critical Care Nurse (ICU, CCU, ER, Med-Surg)

Optum, a UnitedHealth Group Company; Metro Manila; Sur place; PHP 400 000 - 600 000; Plein temps

Avantages offerts par ce poste

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

Résumé du poste

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.

Responsabilités

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

Connaissances

Clinical Knowledge

Critical Care Experience

Active PHRN License

Description du poste

ROLE AND RESPONSIBILITIES

• The Clinical Appeals Nurse in Optum will ensure defensible and accurate case recommendations for concurrent admission, continued stay, and concurrent denial cases which are then reviewed by a Physician Advisor for completion of the concurrent and/or peer to peer review. They will be working directly with the Physician Advisors utilizing the guidance provided in order to make defensible and accurate case recommendations.

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life’s best work.

JOB QUALIFICATIONS

• Active PHRN License

• Strong Clinical Knowledge base with a minimum of 2 years of Critical Care bedside experience in a tertiary hospital (local/overseas), (areas: ICU, Critical Care Unit, Telemetry, Cardiovascular Intensive Care Unit, Medical Intensive Care Unit, ER)

• Willing to work onsite

WHAT WE OFFER

• Fixed Weekends Off

• Pure Non-Voice Account

• Market Competitive Pay Levels

• Retirement Plan

• Medical Plan (HMO) from Day 1 of employment

• Dental, Medical, and Optical Reimbursements

• Life and Disability Insurance

• Paid Time-Off Benefits

• Sick Leave Conversion

• Tuition Fee Reimbursement

• Employee Assistance Program (EAP)

• Annual Performance Based Merit Increases

• Employee Recognition

• Training and Staff Development

• Employee Referral Program

• Employee Volunteerism Opportunity

• All Mandatory Statutory Benefits

WHO WE ARE

• Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.

• UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.

• We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.

• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.

• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together