Full-time

US RN: Utilization Review, Prior Authorization & Denials

Posted by PM Consulting • Pasig, Metro Manila, Philippines

📍 Pasig, Metro Manila 🕒 March 03, 2026

About the Role

A healthcare consulting firm in Quezon City is seeking a US Registered Nurse (USRN) to support clinical review and healthcare operations. Responsibilities include evaluating medical records, conducting utilization review, and ensuring compliance with payer standards. Ideal candidates will have an active US RN license and relevant bedside experience. Strong analytical and documentation skills are essential, with opportunities for remote work. This role offers a chance to contribute to accurate reimbursement outcomes in the US healthcare system.
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