Client Profile : A globally recognized organization with over four decades of established operations in the Philippines, providing digital solutions, technology services, and operational support across diverse industries.
Position : USRN
Industry : IT BPO Company
Location : Taguig City
Salary : Negotiable
Schedule : Nightshift
Work Set up : Work on site
Benefits :
✨ Government mandated Benefits
✨ HMO
✨ 13th month pay
✨ Sick Leave Credits
✨ Vacation Leave Credits
Job Requirements :
✨ Bachelor’s degree in Nursing or General Nursing
✨ U.S Nursing Licensed
✨Holds current and unrestricted US Registered Nurse license
✨At least 2-3 years of clinical experience
✨Amenable to work as soon as possible
Job Responsibilities :
✨ Review clinical cases for medical necessity and benefit eligibility
✨ Conduct utilization management reviews (pre-service, concurrent, retrospective)
✨ Apply clinical guidelines and escalate cases as needed
✨ Coordinate with providers and internal teams
✨ Ensure accurate documentation and compliance with policies and standards
Recruitment Process : Online and Face to Face
✨ Initial interview
✨ Final interview
✨ JOB OFFER
USRN • Taguig City, National Capital Region, PH