USRN - Case Manager - Pasig

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...

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...

About 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...

Key Responsibilities: Lead and manage a team of USRNs involved in clinical functions such as utilization management, case management, prior authorizations, appeals, or claims review. Track and evaluate team performance against established KPIs and SLAs, ensuring quality, productivity, and timely delivery. Ensure full compliance with HIPAA, client-specific...

Responsibilities Lead and manage a team of USRNs involved in clinical functions such as utilization management, case management, prior authorizations, appeals, or claims review. Track and evaluate team performance against established KPIs and SLAs, ensuring quality, productivity, and timely delivery. Ensure full compliance with HIPAA, client-specific...

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...

Qualifications:Active USRN license in any U.S. stateMinimum 2 years of hospital or bedside experience in an acute care setting (Med/Surg, Ortho, ER)Experience using InterQualStrong analytical and clinical judgment skillsKey Responsibilities:Review and analyze denied inpatient claims and determine reasons for denial following IP DRG coding guidelinesPrepare...

Overview 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...

Role: 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...

We Are Hiring – Healthcare BPO Roles Location: Manila & Cebu (depending on the role) Work Setup: Onsite / Temporary WFH Start Dates: Varies per role Salary Range: Competitive (up to PHP 100,000 depending on experience)Open Positions1. USRN MCGStart Date: 22-SepWork Setup: Temporary WFHSalary: Up to PHP 95,000Non-Negotiable Qualifications:1 year inpatient...