Prior-Authorization Nurses USRN

This position is responsible for supervising a team of USRNs in delivering accurate and high-quality clinical support and services for healthcare clients. The role involves performance management, training, coaching, quality control, and ensuring adherence to compliance and SLA standards within a BPO setting. Location: Ortigas, Pasig Shift: Night Shift ...

This position supervises a team of USRNs to deliver accurate, high-quality clinical support and services for healthcare clients within a BPO setting. The role includes managing team performance, providing training and coaching, and ensuring compliance with HIPAA, client policies, and SLA standards. Responsibilities involve overseeing clinical processes such...

PRIMARY DUTIES AND RESPONSIBILITIES:· Project- manages the smooth roll out of courses at the location.· Work on areas identified for improvement based on feedback received about the quality of the training programs.· To ensure confidentiality, integrity and availability of all data dealt in course of work· To ensure the completion of compliance awareness...

Nurse Role OverviewThe Nurse role is a key position within our organization, responsible for providing high-quality healthcare services to employees.This includes attending to medical concerns of employees and providing first aid assistance when needed.The Nurse will also evaluate sickness for issuance of medicines, review pre-employment medical results, and...

Must be a graduate of any Medical Allied course (e.g., Nursing, MedTech, Pharmacy, PT, RadTech, etc.) With at least 6 months of BPO or Customer Service experience handling US Healthcare account (preferably voice account and Prior Authorization knowledge) Excellent English communication skills Amenable to work on night shifts, weekends, and holidays ...

The Clinic Cluster Lead will handle clinic management in terms of daily clinic operations, engagement with staff, guidance in reports, audit compliance, etc. A coordinator and first line to engage with clinic site personnel to address day-to-day concerns. Duties and Responsibilities: Monitors compliance of staff with standards defined by ActiveOne...

Job Description:The Clinic Operations Manager is responsible for overseeing the day-to-day management of clinic operations, ensuring seamless coordination with site medical personnel and staff. This includes monitoring compliance with customer service and staff behavior policies, maintaining records of staff performance, and coordinating communication with...

Job Title: Inpatient Coding SpecialistAbout the Role:We are seeking a skilled and experienced Inpatient Coding Specialist to join our team. As a key member of our coding department, you will be responsible for designing and delivering training programs on inpatient coding best practices, clinical documentation standards, and regulatory compliance.Key...

Qualifications: Graduate of BS Nursing, USRN required.At least 1 year previous hospital nursing experience or Case Management experience in a clinical setting for a US-based healthcare company, required.Experience in Prior Authorization, Case Management and Utilization ReviewExperience: Prior Authorization: 1 year (Preferred)Case Management: 1 year...

TASQ is seeking a USRN case manager to join their team in Pasig on-site as soon as possible.The pre-screening interview will be done over the phone. Qualifications: - Bachelor's degree in nursing; a USRN license is mandatory. - A minimum of 1 year of hospital nursing or case management experience within a clinical setting for a US-based healthcare...

TASQ 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...

About 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...

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...

Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications: USRN License any state as long as activeLeadership experience in BPO or hospital recent (ER or ICU experience) Responsibilities: Lead, supervise, and motivate a team of US Registered Nurses (USRNs), ensuring they meet performance standards and quality targets.Allocate daily tasks, set...

Work 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...

Job Title: CDI / DRG Specialist (Pasig) | Onsite Work Arrangement/Shift: Onsite (Work From Office), Night Shift Start Date: ASAP (this June 2025) Qualifications: Bachelors degree in Nursing or a related healthcare field. Must hold a valid Medical Coding License. 6 months to 1 year of experience working in a U.S. healthcare account. Solid...