Utilization Management Nurse (USRN) – On-Site Makati

Genfinity Philippines, Inc.; Philippines; On-site; PHP 480,000 - 720,000; Full time

Benefits offered by this job

Equal Opportunity Employer

Job summary

Genfinity Philippines, Inc. partners with a US-based client to provide UM services at our Makati site.

This role focuses on utilization management for clients, insurers, and injured employees to promote quality care in a timely, cost-effective manner. As a USRN, you will gather medical data, evaluate treatment necessity, and coordinate with providers, employers, and adjusters while ensuring accurate reports and adherence to ICD-10 criteria.

Qualifications

• Active nursing license in the Philippines and mainland US.
• 1 year of Utilization Management/Review experience.
• Knowledge of ICD-10 codes and the utilization review process.
• Excellent verbal and written communication, organizational, and leadership skills.
• Proficiency in MS Word and Excel; comfortable with dual screens.
• Willing to report on-site in Makati.

Responsibilities

• Facilitate verbal and written communication with employees, employers, providers of care, and adjusters.

Skills

Verbal communication

Written communication

Leadership

Time management

Analytical skills

MS Word

MS Excel

Education

Nursing license (PH & US)

Tools

MS Word

MS Excel

Job description

Genfinity Philippines, Inc. partners with a US-based client to provide UM services at our Makati site.

This role focuses on utilization management for clients, insurers, and injured employees to promote quality care in a timely, cost-effective manner. As a USRN, you will gather medical data, evaluate treatment necessity, and coordinate with providers, employers, and adjusters while ensuring accurate reports and adherence to ICD-10 criteria.