Utilization Review Nurse Specialist

3 semanas atrás


Braga, Braga, Portugal Nezda Global Tempo inteiro

Job Summary: Nezda Global seeks a skilled Utilization Review Nurse to join our team. As a key member of our healthcare team, you will be responsible for reviewing medical records and determining the medical necessity of treatments and services.

Key Responsibilities:

  • Review medical records and determine the medical necessity of treatments and services
  • Collaborate with healthcare providers to ensure that treatments and services are medically necessary
  • Communicate with patients and families to explain treatment plans and options
  • Participate in quality improvement initiatives to ensure that healthcare services are delivered in a safe and effective manner

Qualifications:

  • PH Registered Nurse licensure
  • Active PRC License
  • At least 1 year of Utilization Review experience


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