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Usrn • Philippines

Last updated: 6 hours ago

USRN Case Manager

UnitedHealth GroupMakati, National Capital Region, PH

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 connect...Show more

Medical Coder - Inpatient DRG (IPDRG)_Onsite_Dayshift_BGC_Up to 120K

weSource Management Consultancy FirmTaguig, Metro Manila, Philippines
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We are hiring for a Medical Coder - Inpatient DRG (IPDRG) for a client based in BGC, Taguig.This is an Onsite work following a Dayshift schedule.At least 2 years of Inpatient DRG Coding experience....Show more

Healthcare Specialist (USRN) - Quezon City

WNS Global ServicesQuezon City, Metro Manila, Philippines

Clinical Review Nurses – Nurse conducts clinical review of cases not meeting criteria by performing clinical intake and adjudicates (closes), requests additional clinical information or escalates t...Show more

 • New!

Medical Coder - Inpatient DRG

MicroSourcingTaguig, Metro Manila, Philippines
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Discover your 100% YOU with MicroSourcing!.Medical Coder - Inpatient DRG (IPDRG).Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cas...Show more

 • New!

USRN - Trainer

Our ClientsMakati City, Metro Manila, Philippines, Metro Manila, Philippines
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The USRN Trainer is responsible for delivering clinical and process training to healthcare professionals and support teams within a U.This role ensures that employees acquire the clinical knowledge...Show more

USRN Medical Coder (Hybrid)

Tasq Staffing Solutions, Inc.Taguig, Metro Manila, PH
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Hybrid but work onsite frequency is still being deliberated.Night Shift, Shifting Schedule, No fixed weekends off.Valid USRN license (Mainland US only) - must be valid 6 months after the start date...Show more

Utilization Review Nurse Manager (USRN)

NTT DATA ServicesManila, 00, PH

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....Show more

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USRN Case Manager

USRN Case Manager

UnitedHealth GroupMakati, National Capital Region, PH
30+ days ago
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.


The MTM Clinical Admin Nurse supports medication therapy management by conducting medication reviews, identifying care gaps, educating patients on safe and effective medication use, and documenting all clinical interactions accurately. The nurse coordinates care with pharmacists and providers, assists with adherence and quality initiatives, ensures compliance with MTM and CMS standards, manages patient outreach and scheduling, and handles administrative tasks within MTM platforms to support smooth clinical operations.


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 regards 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:

  • Bachelor's degree of Nursing + Active USRN (mainland only) & PHRN license
  • 2+ years of hospital experience preferably ICU/MS/ER/Gen - Med Recon, Adult care
  • MTM target patient w/ multiple diseases with multiple medications which comes with high annual spend
  • Candidate should know drugs, but they need to have knowledge of prior indications of medications
  • Proven ability to think on their feet because they are talking to patients


Preferred Qualification:

  • MTM and diabetes certification


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. © Optum Global Solutions (Philippines) Inc. All rights reserved.