
USRN Nurse Trainer
23 hours ago
About the job USRN Trainer (Pasig) | Onsite Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications: Nursing Graduate (Bachelor's Degree)Active USRN License of any state (but NY is preferred)At least 1-2 years as a Process TrainerMinimum 1-2 years of US Healthcare account experience (Utilization Management Review and Clinical Appeals)Experience with utilization of Interqual/MCG GuidelinesExposure to Inpatient/Concurrent reviewsMust be amenable to report in Manila Responsibilities: 1. Clinical Review & Auditing: Review patient medical records to ensure the accuracy and completeness of documentation.Evaluate and verify the appropriateness of medical codes based on patient diagnoses and procedures.Assist in medical coding audits and provide recommendations for improvements.Collaborate with other healthcare professionals to resolve discrepancies in patient records. 2. Medical Coding Support: Work closely with medical coders to ensure compliance with U.S. healthcare regulations and standards.Provide clinical expertise in the identification of proper coding for procedures and diagnoses.Maintain knowledge of the latest updates to ICD-10, CPT, and other coding guidelines. 3. Quality Assurance & Compliance: Ensure that all healthcare documentation aligns with U.S. healthcare laws, policies, and regulations (HIPAA, CMS).Identify trends or recurring issues related to clinical documentation and coding, and escalate as necessary.Participate in training programs to stay updated on U.S. healthcare regulations and clinical practices.
-
Prior-Authorization Nurses USRN
3 weeks ago
Pasig City, Philippines Visaya KPO Full timeWE'RE HIRING! – Prior-Authorization Nurse USRN – Pioneer Account Location: Ortigas (Onsite) Company: VISAYA Be part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications: Graduate of BS Nursing with an active USRN license At least 3–5 years of solid experience in: Utilization Review...
-
USRN Trainer
23 hours ago
Pasig, Philippines TASQ Staffing Solutions Full timeWork Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications: Bachelor's Degree in Nursing (BSN)Active USRN License of any state (NY preferred) Atleast 1-2 years as a Process TrainerMinimum 1-2 years experience in a US Healthcare account (Utilization Management Review and Clinical Appeals)Experience with utilization of Interqual/MCG...
-
USRN Nurse Team Lead
23 hours ago
Pasig, Philippines TASQ Staffing Solutions Full timeAbout the job USRN Team Leader (Pasig) | Onsite Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications: Active USRN License in any stateBPO or hospital leadership experience recent (ER or ICU experience) Responsibilities: Lead, supervise, and motivate a team of US Registered Nurses (USRNs), ensuring they meet performance standards and quality...
-
USRN - Case Manager - Pasig
23 hours ago
Pasig, Philippines TASQ Staffing Solutions Full timeTASQ is urgently hiring a USRN Case Manager for an on-site role in Pasig. The pre-screening interview will be conducted via a phone call.Work set up/schedule: Night Shift | Onsite HMO day 1 with 1 free dependent Qualifications: Must hold a Bachelor's degree in Nursing and have an active USRN license At least one year of experience in a hospital or clinical...
-
usrn umr
2 weeks ago
Pasig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱40,000 - ₱95,000 per yearAbout the role Nezda Technologies, Inc. is seeking a talented registered nurse to join our team as a USRN UMR & PHRN - PRIOR AUTH. This is a full-time, based in Ortigas Pasig City Metro Manila. In this strategic position, you will play a crucial part in our efforts to deliver exceptional healthcare services to our clients.What you'll be doingReviewing and...
-
Utilization Review Nurse
4 weeks ago
Pasig, Philippines VISAYA Full timeOverview Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships through quality, reliability, and a people-first approach. Role: Utilization Management / Review Nurse We are seeking a skilled...
-
Utilization Review Nurse, USRN
3 weeks ago
Pasig City, Philippines Visaya KPO Full timeRole Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization. Key Responsibilities: Conduct concurrent and retrospective reviews of patient...
-
Utilization Review Nurse, USRN
4 weeks ago
Pasig, Philippines VISAYA Full timeOverview Visaya Pasig, National Capital Region, Philippines — 1 week ago Be among the first 25 applicants. Role Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and...
-
USRN Lead/QA
2 weeks ago
Pasig, National Capital Region, Philippines VISAYA Full time ₱900,000 - ₱1,200,000 per yearRole: USRN Team Lead/QA - Utilization ManagementAbout Visaya KPO:Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships through quality, reliability, and a people-first approach.Role Overview:We...
-
Clinical Nurse Auditor
3 weeks ago
Pasig City, Philippines Visaya KPO Full timeWE'RE HIRING! Ortigas Site Clinical Nurse Appeals Writer (For Active Pooling) Visaya KPO is on the lookout for experienced and dedicated PHRN/USRN professionals to join our growing team! Why Join Us? HMO & Retirement Benefits 15% Night Differential 24 Leave Credits per Year Holistic Wellness Programs Qualifications: PHRN/USRN with 3+ years of...