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USRN SME | Utilization Management Expert | Fort BGC on Temporary Work from Home
Aces Call Center Jobs Inc.
- Muntinlupa, PhilippinesMuntinlupa, Metro Manila, Northgate Cyberzone Northgate Avenue, Alabang, Muntinlupa, Metro Manila, Philippines, PhilippinesMuntinlupaMetro ManilaPhilippinesPhilippinesTELECOMMUTE
- ₱90,000.00 / monthPHP900009000090000MONTH
- Full timeFULL_TIME
Job Description
USRN SME Level
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Perform Workers' Compensation Utilization Management review
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Review Workers' Compensation UM requests and ensure adherence to Department of Labor, state and company WCUM timeframe requirements
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Coordinate physician reviewer referrals as needed
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Track status of reviews that are in progress
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Work closely with management teams involved in the review
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Certify reviews and maintain records of reviews
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Serve as first point of contact for complaints resolution
Minimum Qualifications
- Graduate of BS Nursing
- Holder of Active USRN license (any US Mainland State)
- At least 3 years Workers' Compensation Utilization Management experience in a BPO setting or for a US healthcare compan
- Good English communication skills - can handle a blended type role (voice/non-voice)
- Willing to work on Nightshift or shifting schedule (paid night differential) on weekday shift. Must be willing to work on weekends if volume of work requires.
- Must be residents of Metro Manila and able to pick up device from the office in Taguig
- Must be willing to shift to onsite work when business requires
Salary package: P90,000 plus Signing Bonus of P100,000
Perks and Benefits
Work from Home
Medical / Health Insurance
Paid Sick Leave
Performance Bonus
Recruitment / Signing Bonus
Paid Holidays
Paid Vacation Leave
Maternity & Paternity Leave
Jobs Summary
- Job Level
- Entry Level / Junior, Apprentice
- Job Category
- Health and Medical
- Educational Requirement
- Bachelor's degree graduate
- Recruiter response to application
- Always
- Office Address
- Northgate Cyberzone Northgate Avenue, Alabang, Muntinlupa, Metro Manila, Philippines
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