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RN: Prior Auth Clinical Reviewer (Hybrid)

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Optum
πŸ“ cebu city, Philippines
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Location cebu city
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Posted June 02, 2026
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Commute Local Area
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Job Description

A leading health care technology company is seeking a US Registered Nurse to review medical requests and ensure services are necessary and compliant with clinical guidelines. Responsibilities include conducting clinical coverage reviews, coordinating with care teams, and documenting medical necessity assessments. Candidates must hold valid USRN and PHRN licenses, with a minimum of 2 years of hospital bedside experience preferred. Join a supportive team committed to innovation in health care and enjoy a hybrid work model post-training.
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πŸ“ Location Details

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City
cebu city
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Country
Philippines
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Commute
Local Area

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