Utilization Review Nurse/Doctor

Dynamic Talent Solutions

C$605-847[Monthly]
On-site - TaguigFresh Graduate/StudentBachelorFull-time
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Job Description

Benefits

  • Employee Recognition and Rewards

    Performance Bonus, Incentives

  • Government Mandated Benefits

    Pag-Ibig Fund, Philhealth, SSS/GSIS

  • Insurance Health & Wellness

    Life Insurance, HMO

  • Professional Development

    Job Training, Professional Development

  • Time Off & Leave

    Maternity & Paternity Leave, Sick Leave, Vacation Leave

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Description

Utilization Review Nurse and Doctor

  • The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. This includes examination of documents to see if patients are given care consistent with their needs as well as inputting of approved Guidelines and References. The review typically involves medical records abstracting, analysis and documentation based on client-specific guidelines and templates.
  • Coordinates with the Production Supervisor and other Reviewers with regard to job assignment.
  • Evaluates completeness of submitted documents and identifies missing information that may support completion of utilization review request.
  • Constructs clear and accurate reviews of records that conform to the guidelines of each Client and determine if the care provided is appropriate, medically necessary, and of high quality. 
  • Applies ACOEM Guidelines and evidence-based references to certify or elevate to peer review requested procedures. Submits reviews for edit within a specified period.
  • Meets a target production output or quota and a quality standard to be set by Management.


Requirements

for UR Nurse

  • Salary: 20,000 - 25,000 with 15K signing bonus
  • Meal and Transportation Allowance
  • Graduate of Nursing
  • With or without experience
  • Amenable to work in shifting schedule
  • Willing to work onsite in Taguig


for UR Doctor

  • Salary: 25,000 - 35,000 with 15K signing bonus
  • Meal and Transportation Allowance
  • Graduate or 3rd / 4th year college undergrad of Medicine are welcome to apply
  • With or without experience
  • Amenable to work in shifting schedule
Medical Terminology
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Rosanna Lazarra

Technical RecruiterDynamic Talent Solutions

Reply 2 Times Today

Working Location

Fort Bonifacio. Fort Bonifacio, Taguig, Metro Manila, Philippines

Posted on 02 July 2025

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