Utilization Review RN - Prior Auth & Care Coordination

SAGILITY PHILIPPINES B.V. BRANCH OFFICE; Philippines; On-site; PHP 300,000 - 600,000; Full time

Job summary

SAGILITY PHILIPPINES B.V. BRANCH OFFICE in Quezon City, Philippines is seeking experienced US Registered Nurses to review medical cases, assess appropriateness of care, and process prior authorization requests in line with insurer policies.

You will evaluate services, determine level of care for inpatient and outpatient settings, and ensure timely, evidence-based reviews in collaboration with Medical Directors and care teams.

Job description

SAGILITY PHILIPPINES B.V. BRANCH OFFICE in Quezon City, Philippines is seeking experienced US Registered Nurses to review medical cases, assess appropriateness of care, and process prior authorization requests in line with insurer policies.

You will evaluate services, determine level of care for inpatient and outpatient settings, and ensure timely, evidence-based reviews in collaboration with Medical Directors and care teams.