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PHRN Utilization Management Nurse (UM Nurse) | Clinical Appeals & Review

PHRN Utilization Management Nurse (UM Nurse) | Clinical Appeals & Review

Cognizant Consulting
1-3 Years
Not Disclosed
  • Posted 4 hours ago
  • Be among the first 10 applicants

Job Description

Be Cognizant. Build Your Healthcare Career with a Global Leader.

Cognizant is one of the world's leading professional services companies, helping clients transform their business, operations, and technology for the digital era. With over 270,000 associates worldwide, we provide opportunities for career growth, learning, and meaningful work across global healthcare programs.

Qualifications:

Active Philippine Registered Nurse (PHRN) License

At least 1 year of experience in Utilization Management (UM), Utilization Review (UR), Clinical Appeals, Medical Coding, or Healthcare Operations

Minimum 1-year bedside nursing or clinical experience

Experience reviewing medical records, healthcare documentation, or clinical cases is an advantage

Background in healthcare back-office, clinical review, non-voice, or healthcare BPO operations preferred

Strong analytical, documentation, and communication skills

Why Join Us

At Cognizant, we don't just offer jobs—we build careers that thrive in the digital era.

  • Growth That Matters – Clear career paths, continuous learning, and opportunities to move into leadership or specialized roles. You're not just filling a seat—you're building a future.
  • Support That Empowers – A collaborative culture where your voice is heard, your ideas matter, and your well-being is prioritized through strong benefits and work-life balance.
  • Impact That Inspires – Work on global accounts that shape industries, influence millions of users, and give you a sense of purpose beyond the paycheck.

Your future starts here—grow, thrive, and make an impact with Cognizant.

More Info

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Key Skills

Clinical Cases

Healthcare Back-office Clinical Review

Healthcare BPO Operations

Reviewing Medical Records

Bedside Nursing

Healthcare Documentation

Clinical Experience

Healthcare Operations

Clinical Appeals