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Angeles University Foundation Medical Center, Inc jobs

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    • Telephonic and/or telecommute experience.
    • Total years of experience:1+ years hospital experience or 2+ years UM Nurse (USRN).
    • View all Optum jobs - Makati jobs - Utilization Review Nurse jobs in Makati
    • Salary Search: Preservice Review Nurse salaries in Makati
    • See popular questions & answers about Optum
    • We are looking for QA night shift.
    • Pay: Php25,000.00 - Php40,000.00 per month.
  • View similar jobs with this employer
    • To help every Filipino family achieve financial security as we provide solutions to help customers live healthier, longer, and better lives.
    • To help every Filipino family achieve financial security as we provide solutions to help customers live healthier, longer, and better lives.
    • Do you have experience reviewing medical records or preparing clinical summaries?
    • Do you have experience reviewing medical records or preparing clinical…
    • Probe clinicians when code assignments are unclear, or documentation is inadequate, or ambiguous.
    • At least 1 year of experience (home health care or hospice).
    • Sales experience for at least 3 years, preferably in related field or industry.
    • The Telesales Team Leader strives to lead, supervise, and monitor Telesales…
    • To help every Filipino family achieve financial security as we provide solutions to help customers live healthier, longer, and better lives.
    • Education: Bachelor's degree from accredited university or college.
    • Record patient symptoms, medical information, and changes in condition.
    • A 5% raise per year guaranteed (additional raises or bonuses may be given for outstanding performance).
    • Must have their own work device (preferably a desktop or…
    • Familiar with HHAeXchange, WellSky/Kinnser, Axxess, Devero, or similar EMR.
    • Review OASIS assessments and recommend ICD-10 coding corrections.
    • Active PRC License as a Registered Nurse (RN) or Registered Midwife (RM).
    • Experience in maternal health, women's health, community health, telehealth, or U.S.…
  • View similar jobs with this employer
    • Minimum of one (1) year diverse clinical experience or prior experience in medical bill review or claim/case review.
    • Bachelor's degree in Nursing.
    • Monitor patients for changes in health status, recognize signs of deterioration or complications, and take immediate action or report to the attending physician…
    • Preferably with 1 year of working experience in clinical or hospital setting.
    • - No Placement Fee (Client-Sponsored).

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Optum logo
Preservice Review Nurse
Optum
 (part of UnitedHealth Group)
·
3.3
Makati
•
Remote
Full-time
Apply on company site

Job details

Here’s how the job details align with your profile.

Job type

Full-time

Full job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.


Primary Responsibility:

  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

  • Course/ Education: Bachelor's degree in nursing + Active USRN (mainland only) & PHRN license
  • Total years of experience:1+ years hospital experience or 2+ years UM Nurse (USRN)


Preferred Qualifications:

  • Prior Authorization experience
  • Telephonic and/or telecommute experience
  • Utilization Review/Management experience
  • ICD-10, CPT coding knowledge/experience
  • InterQual or Milliman Knowledge/experience


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.


Optum is a drug-free workplace. © 2026 Optum Global Solutions (Philippines) Inc. All rights reserved.

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