Utilization Review Medical Appeals Nurse - USRN

Req ID: 379955 

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Utilization Review Medical Appeals Nurse - USRN to join our team in Manila, Quezon (PH-QUE), Philippines (PH).

In this role, you will be responsible for:

Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) stand...