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

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

Cognizant Softvision
1-3 Years
Not Disclosed
  • Posted 17 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

Healthcare BPO Operations

Utilization Review (UR)

Bedside Nursing

Clinical Experience

Healthcare Documentation

Utilization Management (UM)

Clinical Appeals

Healthcare Operations

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1-3 yrs
Philippines, Taguig
Skills:
Utilization Review (UR), Utilization Management (UM), Healthcare BPO Operations, Bedside Nursing, Healthcare Documentation, Clinical Experience, Healthcare Operations, Clinical Appeals, Medical Coding