PHRN Utilization Management Nurse (UM Nurse) | Clinical Appeals & Review

Cognizant; Taguig; Vor Ort; PHP 500.000 - 900.000; Vollzeit

Zusammenfassung

Cognizant is seeking a qualified Philippine Registered Nurse to support healthcare programs with utilization management and clinical review expertise. The role emphasizes reviewing medical records, coding, and back-office healthcare operations while leveraging strong analytical and communication skills.

Join Cognizant to grow your healthcare career within a global leader, with opportunities for career progression, learning, and meaningful impact on international accounts.

Qualifikationen

• Active Philippine Registered Nurse (PHRN) license.
• At least 1 year of UM/UR, clinical appeals, medical coding, or healthcare operations.
• Minimum 1-year bedside nursing or clinical experience.
• Experience reviewing medical records or clinical cases is an advantage.
• Background in healthcare back-office or healthcare BPO operations preferred.
• Strong analytical, documentation, and communication skills.

Kenntnisse

UM/UR experience

Clinical documentation

Analytical skills

Communication skills

Ausbildung

Philippine Registered Nurse (PHRN) License

Jobbeschreibung

Be Cognizant. Build Your Healthcare Career with a Global Leader.

Cognizant is one of the world's leading professional services companies, helping clients transform their business, operations, and technology for the digital era. With over 270,000 associates worldwide, we provide opportunities for career growth, learning, and meaningful work across global healthcare programs.

Qualifications:

Active Philippine Registered Nurse (PHRN) License

At least 1 year of experience in Utilization Management (UM), Utilization Review (UR), Clinical Appeals, Medical Coding, or Healthcare Operations

Minimum 1-year bedside nursing or clinical experience

Experience reviewing medical records, healthcare documentation, or clinical cases is an advantage

Background in healthcare back-office, clinical review, non-voice, or healthcare BPO operations preferred

Strong analytical, documentation, and communication skills

Why Join Us?

At Cognizant, we don't just offer jobs-we build careers that thrive in the digital era.

• Growth That Matters - Clear career paths, continuous learning, and opportunities to move into leadership or specialized roles. You're not just filling a seat-you're building a future.
• Support That Empowers - A collaborative culture where your voice is heard, your ideas matter, and your well-being is prioritized through strong benefits and work-life balance.
• Impact That Inspires - Work on global accounts that shape industries, influence millions of users, and give you a sense of purpose beyond the paycheck.

Your future starts here-grow, thrive, and make an impact with Cognizant.