International SOS

Utilization Review Nurse

International SOS  •  Onsite  •  4 hours ago
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Job Description

The Role

International SOS is seeking an experienced Coordinating Benefit Review Nurse (CBRN) to support the US Department of Defense (DoD) Civilian Program. This role is responsible for reviewing the medical necessity and insurance coverage of healthcare services, facilitating access to appropriate care, and coordinating with healthcare providers, insurance carriers, and internal clinical teams to ensure quality healthcare outcomes.

Key Responsibilities:

  • Review healthcare service requests for appropriateness and benefit coverage.
  • Coordinate referrals to appropriate healthcare providers and facilities.
  • Assess medical cases and collect clinical information to support coverage decisions.
  • Maintain accurate case documentation and uphold confidentiality standards.
  • Collaborate with Japan-based clinical teams, providers, and stakeholders.
  • Support quality assurance and adherence to clinical guidelines and regulatory standards.

Qualifications:

  • Active Philippine and US Registered Nurse (RN) licenses with at least 12 months validity.
  • Bachelor's Degree in Nursing.
  • Minimum of 5 years of clinical nursing experience.
  • Experience in Medical Benefit Review within a BPO/shared services environment.
  • Strong analytical, communication, customer service, and case management skills.
  • Proficiency in MS Office and healthcare systems.
International SOS

About International SOS

The International SOS Group of Companies has been in the business of saving lives for over 40 years. Protecting global workforces from health and security threats, we deliver customised health, security risk management and wellbeing solutions to fuel our clients’ growth and productivity. In the event of extreme weather, an epidemic or a security incident, we provide an immediate response providing peace of mind. Our innovative technology and medical expertise with a focus on prevention, offers real-time, actionable insights and unparalleled on-the-ground delivery. We help clients meet compliance reporting needs for good governance. By partnering with us organisations can fulfil their Duty of Care responsibilities, while empowering business resilience, continuity and sustainability.

Founded in 1985, the International SOS Group, headquartered in London & Singapore, is trusted by 9,000 organisations, including the majority of the Fortune Global 500 as well as mid-size enterprises, governments, educational institutions, and NGOs. 12,000 multi-cultural medical, security and logistics experts stand with you to provide support & assistance from over 1,200 locations in 90 countries, 24/7, 365 days.

To protect your workforce, we are at your fingertips: www.internationalsos.com

For news and events updates follow us on Twitter - https://twitter.com/IntlSOS

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Singapore, SG
Year Founded
1985
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