Utilization Review Nurse
Med-MetrixPhilippines
Posted January 1, 2026
Full Time
About the Company
Med-Metrix is a leading provider of Revenue Cycle Management solutions for hospitals, health systems, and physician practices. Leveraging proprietary technology, advanced analytics, and a highly trained workforce, the company optimizes patient experience, billing accuracy, and revenue recovery. Its portfolio spans revenue cycle, business intelligence, managed care improvement, physician advisory, contract and denial recovery, and patient accounting services. Med-Metrix distinguishes itself through a culture of continuous learning—offering tailored training via Med-Metrix University—and a commitment to empowering employees to grow and excel in a collaborative environment.
Job Description
Join Med-Metrix and experience exceptional benefits, including 8-Hour Shifts, HMO coverage, and more. As a Utilization Review Nurse, you will review medical necessity and appropriateness of healthcare services and treatments, working with healthcare providers and insurance companies to ensure quality patient care is cost-efficient.
Requirements
- Valid PHRN License
- USRN license is a plus
- Minimum of 1-2 years experience in Utilization Management
- Experience utilizing UM criteria including MCG or InterQual
- Minimum of three (2) years clinical nursing experience in an ambulatory or hospital setting
- Proficient computer skills and experience with Microsoft web-based applications
- Experience in managed care and health insurance required
- Ability to communicate effectively in English, both written and verbal
Benefits
- 8-Hour Shifts
- Day 1 HMO with 2 of your dependents covered for FREE
- Group Life Insurance
- Medical Cash Allowance
- Rice Allowance
- Clothing Allowance
- Holiday Gift
- Bereavement Assistance
- Free Lunch Daily
- Paid Time Off
- Training and Staff Development
- Employee Engagement Activities
- Opportunities for Internal Mobility
