For Employers

Rachel Nicole Baluarte

Utilization Review Nurse and Clinical Data Abstractor

Philippines UTC-8

English

Professional

Remote experience

None

US overlap

Minimal / async

Availability

Available now

Experience

2 yrs

Registered Nurse with experience in healthcare quality and case management. Experienced in Utilization Review using MCG criteria and HEDIS Clinical Abstraction. Adept at navigating EMR systems including AthenaOne to drive quality improvement.

At a glance

Level Entry Level

Experience 2 years

Education Bachelor's

Looking for

Full-time Part-time Contract Freelance

Open to

Video Interview

Background Check

Messaging coming soon

Skills

HIPAA Compliance Medical Insurance Medical Knowledge Medical Services ICD-10 Medical Billing

Membership Details

Member Since

March 9, 2026

Last Active

7 months ago