We are looking for a USRN Utilization Review Specialist responsible for reviewing clinical information, medical records, and patient cases to determine the medical necessity, appropriateness, and level of care based on established clinical guidelines and payer requirements.
PHRN - Cebu The Registered Nurse will provide clinical and healthcare support services aligned with operational and quality standards. The role is responsible for delivering patient-centered support through documentation review, clinical coordination, and healthcare process assistance
Position Summary The Transitional Care Management Nurse is a U.S.-licensed Registered Nurse responsible for delivering high-quality, post-discharge care coordination services to patients across multiple programs. This role focuses on ensuring safe transitions of care, reducing readmissions,