USRN Team Lead
4 weeks ago
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 policies, and clinical standards. Conduct audits and reviews of clinical decisions to maintain accuracy and adherence to protocols. Qualifications Must hold an active USRN license (from any U.S. state) Minimum of 1 year experience in an ER and/or ICU setting Previous leadership or supervisory experience in either a clinical or BPO environment #J-18808-Ljbffr
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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...
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USRN Senior Operations Manager
2 weeks ago
Pasig, National Capital Region, Philippines HLH Consulting Group Full time ₱1,500,000 - ₱3,000,000 per yearThis is a full-time remote role for a USRN Senior Operations Manager / Associate Director. The individual in this role will oversee daily operations, manage team performance, ensure compliance with industry standards, and drive strategic goals. Responsibilities include mentoring and leading teams, enhancing operational efficiencies, managing budgets, and...
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USRN Senior Operations Manager
1 week ago
Pasig, Philippines HLH Consulting Group Full timeUSRN Senior Operations Manager / Associate Director This is a full-time remote role for an USRN Senior Operations Manager / Associate Director. The individual in this role will oversee daily operations, manage team performance, ensure compliance with industry standards, and drive strategic goals. Responsibilities include mentoring and leading teams,...
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Prior-Authorization Nurses USRN
3 days ago
Pasig, 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...
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USRN – Denials
2 weeks ago
Pasig, National Capital Region, Philippines Global Group Innovative Services Full time ₱1,080,000 - ₱1,140,000 per yearQualifications: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...
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USRN Academy Reviewee
3 weeks ago
Pasig, Philippines TASQ Staffing Solutions Full timeUSRN Academy Reviewee - Pasig (June 23, 2025 start date) Job Openings USRN Academy Reviewee - Pasig (June 23, 2025 start date) About the job USRN Academy Reviewee - Pasig (June 23, 2025 start date) About the job USRN Academy (Remote Review - 6 months) Work Setu p/Shift: Remote review 6 months Qualifications : Must be residing NCR/Cebu Province 2 yrs...
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USRN QA Specialist
3 weeks ago
Pasig, Philippines Shearwater Health Full timeLet your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careers! Physical Sites: Taguig, Cebu, and Pampanga Our Clinicians & Associates advocates for better patient care while enjoying these benefits: Work from Home! HMO on Day 1 with 2 Dependents upon regularization Group Life Insurance Highly Competitive...
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Pasig City, Philippines Gap Solution Recurrent Firm Full timeHiring: USRN – New York License Holders Only ₱60,000 – ₱65,000 We are looking for US Registered Nurses (USRN) licensed under the State of New York to join our healthcare BPO team in Ortigas. Work Location: 100% Onsite – Ortigas Schedule: Night Shift Salary: ₱60,000 – ₱65,000 Start Date: October 20, 2025 Qualifications: —Must hold...
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USRN Nurses
3 weeks ago
Pasig, Philippines TASQ Staffing Solutions Full timeUSRN Nurses (Clinical Documentation, Coding) About the job USRN Nurses (Clinical Documentation, Coding) Job Title: CDI / DRG Specialist (Pasig) | OnsiteWork Arrangement/Shift: Onsite (Work From Office), Night ShiftStart Date: ASAP (this June 2025) Qualifications: Bachelors degree in Nursing or a related healthcare field. Must hold a valid Medical Coding...
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Utilization Review Nurse, USRN
2 weeks ago
Pasig, 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...