USRN: Clinical Reviewer & Case Manager (Manila)

Optum, part of UnitedHealth Group, is seeking a US Registered Nurse (USRN) based in Manila, Philippines. The role reviews clinical information, supports utilization management, and helps ensure timely care aligned with clinical guidelines.

Daily tasks include assessing medical records, coordinating with physicians, and participating in case reviews to support quality and cost-effective care. The nurse will provide clinical insights to internal teams, contribute to member and provider education,