Preservice Review Nurse

Optum Philippines; Makati; On-site; PHP 450,000 - 650,000; Full time

Job summary

Optum Philippines is seeking qualified nurses to support US healthcare operations in Makati. The role requires a US Registered Nurse with a PHRN license, plus 1+ years hospital experience or 2+ years UM Nursing (USRN). Telephonic or remote work is a plus.

A strong commitment to clinical excellence and patient care is essential. As part of UnitedHealth Group, you will help deliver high-quality care, utilization review, and approvals within a dynamic, policy-driven environment, contributing to

Qualifications

• Bachelor's degree in nursing and active USRN with PHRN license.
• 1+ years hospital experience or 2+ years UM Nurse (USRN).
• Telephonic and/or telecommute experience preferred.
• Prior Authorization and ICD-10/CPT knowledge desirable.

Responsibilities

• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives.

Education

Bachelor's degree in Nursing

USRN license

PHRN license

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibility

• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so.

Required Qualifications

• Course/ Education: Bachelor's degree in nursing + Active USRN (mainland only) & PHRN license
• Total years of experience: 1+ years hospital experience or 2+ years UM Nurse (USRN)

Preferred Qualifications

• Prior Authorization experience
• Telephonic and/or telecommute experience
• Utilization Review/Management experience
• ICD-10, CPT coding knowledge/experience
• InterQual or Milliman Knowledge/experience

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Optum is a drug-free workplace. © 2026 Optum Global Solutions (Philippines) Inc. All rights reserved.