Utilization Reviewer - Doctor (Office-Based)

The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. This includes examination of documents to see if patients are given care consistent with their needs as well as inputting of approved Guidelines and References. The review typically involves medical records abstracting, analysis and documentation based on client‑specific guidelines and templates.

Qualifications

• Graduate or Undergrad of Medicine (Licensed or Non‑Licensed)
• With excellent oral and written communication skills
• Willing to work onsite at McKinley, Taguig