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GBSC - Clinical Program Nurse II
Crawford & Company
Full-time
Manila, Metro Manila
Other Management Occupations
Posted:
March 03, 2026
Location:
Manila, Metro Manila, Philippines
Job Description
Summary
Responsible for reviewing medical information to determine if requested treatment is medically necessary and appropriate according to the given standards.
Job Scope
Analyzes medical information and applies established criterion to facilitate the utilization review process.
Collaborates objectively with peer physicians to facilitate case resolution.
Utilizes appropriate resources to perform utilization review process.
Documents pertinent information in internal and external communications to support utilization management determinations and case resolutions.
Adheres to the given standard operating procedures (SOP) and turnaround time to complete the review process.
Demonstrates knowledge and understanding of Broadspire medical department policies and procedures and ability to communicate same with internal/ external customers as necessa...
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Apply Now Save for LaterJob Overview
Job Type:
Full-time
Location:
Manila, Philippines
Posted:
March 03, 2026
Deadline:
April 12, 2026