Remote Utilization Review RN – USRN, Night Shift

Our Clients in the Philippines seeks experienced US Registered Nurses (US RNs) to support utilization management, reviewing medical necessity and payer compliance through clinical documentation evaluation.

The role involves performing prospective, concurrent, and retrospective reviews for inpatient and outpatient cases, using InterQual/MCG criteria, and collaborating with physicians and case managers. It is a full-time, hybrid position open to Philippine-based USRNs.