Utilization Review Nurse

Submit ResuméLink

Responsibilities

As a Prior Authorization Review Nurse, you will manage prior authorization requests for our clinical providers.

 

Every day, you’ll face tough decisions regarding diverse levels of care in all kinds of specialties.

 

Some by the book. Some not. It’ll be up to you to assess and interpret each customer’s needs and requirements to determine the appropriate care.

 

But that doesn’t mean you’re working alone. We provide exceptional support including access to medical staff, information tools, ongoing updates and training.

 

Each call is an opportunity to educate, inform and improve upon the service we provide to our members, providers, and the health care system overall.

Requirements

  • Candidate must possess at least a Bachelor's/College Degree on Nursing.
  • Preferably Non-Executive specializing in Customer Service or equivalent.

Additional Information

  • Location: Taguig City, NCR.
  • Full Time position(s) are available.
  • Number of vacancies: 20.

Careers at Optum

If you’re going to change careers, why not look for an employer that’s out to change everything? If you have that kind of appetite for change, Optum is the right place for you. As part of the growing UnitedHealth Group family of businesses, we’re driving innovation and change all over the world. That’s creating opportunity right here in the Philippines for people with energy, passion and a focus on quality. We’re driven to help people live healthier lives and to helpmake the health care system work better for everyone. We want to make a difference and that makes this the one job opportunity that can change everything for you.