Talent.com
USRN Case Manager
USRN Case ManagerUnitedHealth Group • Makati, National Capital Region, PH
USRN Case Manager

USRN Case Manager

UnitedHealth Group • Makati, National Capital Region, PH
30+ days ago
Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.


The MTM Clinical Admin Nurse supports medication therapy management by conducting medication reviews, identifying care gaps, educating patients on safe and effective medication use, and documenting all clinical interactions accurately. The nurse coordinates care with pharmacists and providers, assists with adherence and quality initiatives, ensures compliance with MTM and CMS standards, manages patient outreach and scheduling, and handles administrative tasks within MTM platforms to support smooth clinical operations.


Primary Responsibility:

  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

  • Bachelor's degree of Nursing + Active USRN (mainland only) & PHRN license
  • 2+ years of hospital experience preferably ICU/MS/ER/Gen - Med Recon, Adult care
  • MTM target patient w/ multiple diseases with multiple medications which comes with high annual spend
  • Candidate should know drugs, but they need to have knowledge of prior indications of medications
  • Proven ability to think on their feet because they are talking to patients


Preferred Qualification:

  • MTM and diabetes certification


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.


Optum is a drug-free workplace. © Optum Global Solutions (Philippines) Inc. All rights reserved.

Create a job alert for this search

USRN Case Manager • Makati, National Capital Region, PH

Similar jobs

USRN Team Lead / Supervisor Healthcare BPO Makati Up to 100k

Epsilon Group Servicesmakati, national capital region, Philippines

Job Title: USRN Supervisor (Healthcare BPO | Makati | Night Shift | Up to 100K) .Salary: Up to PHP 100,000 + Allowances .Lead and coach a team of USRNs .Monitor KPIs (AHT, QA, adherence, MTM comple...Show more

 • Promoted

USRN - Manager

Optumnational capital region, ph

Positions in this function include RN roles (with current unrestricted licensure in applicable state) responsible for providing clinical expertise in any of the following areas:.Clinical Interface/...Show more

 • Promoted

Senior Manager for Clinical Operations (USRN)

Optum Philippinesnational capital region, ph

The Senior Manager for Clinical Operations (USRN) is responsible for leading and managing clinical and healthcare business process management teams, with direct oversight of Utilization Management ...Show more

 • Promoted

USRN - Utilization Review Author | WFH | 100K SOB |

R1 RCMnational capital region, remote, Philippines

LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES.USRN - Utilization Review Author.Bachelor of Science in Nursing.Registered Nurse license (Mainland: USRN).Utilization Review experience o...Show more

 • Promoted

Senior Case Manager

ExpereoManila, Metro Manila, PH
Quick Apply

Expereo believes in the power of Internet connectivity.As the world's largest provider of managed internet, SD-WAN/SASE, and Cloud connectivity solutions, we power enterprises and government sites ...Show more

USRN (Work From Home) / NCR Only / up to 65k

Gap Solution Recurrent Firmmanila, national capital region, Philippines

USRN (Work From Home) | NCR Only | Quezon City .Active PHRN/USRN license (valid within 6 months) .At least 1 year bedside, hospital, or clinical experience as Staff Nurse (no internship/training) ....Show more

 • Promoted

Home Health Case Manager

OMNI Therapy, Inc.pasig city, national capital region, ph

Case Managers to handle home health referrals on our team.Candidates should have successful experience working in the healthcare field as a healthcare case manager or care coordinator.Case Managers...Show more

 • Promoted

USRN - Clinical Authorization Reviewer (Work From Home )

Epsilon Group Servicesmanila, national capital region, Philippines

Hiring: USRN – Clinical Authorization Reviewer (Work From Home | 3-Month Onsite Training Required) .Location: Quezon City / Taguig .Work Setup: 3 Months Onsite Training (BGC or QC, NCR), then Perma...Show more

 • Promoted

USRN Team Lead

RSD Human Resource Management Consultancyquezon city, national capital region, Philippines

We are seeking an experienced and driven USRN Team Leader to oversee a team of U.Registered Nurses in a healthcare or BPO setting.This role is responsible for managing team performance, ensuring qu...Show more

 • Promoted

USRN Team Lead

Our ClientsPasig, Metro Manila, Philippines, Philippines
Quick Apply

The Registered Nurse Team Lead will oversee a team of US-licensed nurses supporting clinical review, utilization management, and healthcare operations.This role is responsible for ensuring quality ...Show more

USRN Senior Operations Manager (SOM)

Epsilon Group Servicesmakati, national capital region, Philippines

Hiring: USRN Senior Operations Manager (SOM) .Salary: ₱150,000 – ₱200,000 (Negotiable) .We are looking for a results-driven USRN Senior Operations Manager with strong end-to-end leadership experien...Show more

 • Promoted

USRN - Trainer

Our ClientsMakati City, Metro Manila, Philippines, Metro Manila, Philippines
Quick Apply

The USRN Trainer is responsible for delivering clinical and process training to healthcare professionals and support teams within a U.This role ensures that employees acquire the clinical knowledge...Show more

Junior Case Manager

ExpereoManila, National Capital Region, PH
Quick Apply

Expereo believes in the power of Internet connectivity.As the world's largest provider of managed internet, SD-WAN/SASE, and Cloud connectivity solutions, we power enterprises and government sites ...Show more

USRN - Supervisor

Optumnational capital region, ph

As the Clinical Team Supervisor, you will be the frontline leader for a newly.Clinical Nurses delivering Medication Therapy Management (MTM).US-based Medicare & Retirement (M&R) patients.Reporting ...Show more

 • Promoted

US Registered Nurse (USRN)

Metacomquezon city, national capital region, Philippines

Location: Bridgetowne, Quezon City .We are building a strong pipeline of US Registered Nurses (USRNs) for upcoming healthcare accounts in Bridgetowne.If you have solid clinical and medical records ...Show more

 • Promoted

USRN - Subject Matter Expert

Optumnational capital region, ph

The Clinical Subject Matter Expert (SME) is the clinical anchor and primary.Medication Therapy Management (MTM) program.Working closely with the Operations Manager and Team Supervisors, the SME ens...Show more

 • Promoted

Clinical Consultant (USRN)

Optum Philippinesnational capital region, ph

The Clinical Consultant provides clinical and operational support as a U.Healthcare Subject Matter Expert, providing various clinical support services and operational guidance for business processe...Show more

 • Promoted

USRN Trainer

Omega Healthcare Management Servicesortigas, national capital region, ph

Deliver & facilitate trainings per business requirements.Conduct Training Needs Analysis (TNA), as well as develop and execute customized Training Needs Interventions (TNI) to support business KPIs...Show more