USRN Utilization Review Nurse
7 days ago
Overview Let 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: Temporary Work From Home Setup HMO on Day 1 with 2 Dependents upon regularization. Group Life Insurance Highly Competitive Salary Complexity Allowance Annual Salary Increase Quarterly Performance Bonus Service Incentive Leave (SIL) with Leave Conversion Work-Life Integration Get Visa Sponsorship & Work Abroad (*) Note: Terms and Conditions Apply The USRN Utilization Management Nurse role is responsible for performing medical necessity review of proposed prospective, concurrent, and retrospective cases such as medical treatments, auto-injury related requests, hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiently in accordance with the client\'s-specific contract rules and guidelines and with company\'s policies, practices and procedures to facilitate quality and cost effective care for the injured employee. Summarize clinical documents, provide guidelines, draft medical necessity determinations, and request additional clinical information if required. What we look for: Must have an active US Nursing License Must be a valid Philippines passport holder With at least one (1) year of recent hospital bedside care experience Experience in Utilization Management, Coding, Back office, and other CPO related processes is a must Knowledgeable in Medical/Clinical Summary Writing With excellent Communication, Organizational, Time Management, and Interpersonal skills Must be amenable for a graveyard shift or any shift schedule Must be amenable to report onsite (Taguig/Pampanga/Cebu) Note: Only USRN profiles with Utilization Management/Review experience will be shortlisted. #J-18808-Ljbffr
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USRN (Utilization Review)
4 weeks ago
Taguig, Philippines UST Full timeUST Taguig, National Capital Region, Philippines UST HealthProof is searching for a highly motivated Utilization Review RN to join our team. As a Utilization Review US Registered Nurse, you will perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length...
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PH USRN Authorization Nurse
3 weeks ago
Taguig, Philippines Gratitude Inc Full timeOverview Job title: PH USRN Authorization Nurse Work set up: Onsite in BGC Taguig Work shift: Night shift Budget: 40K - 60K package (4-6 yrs) Headcount: 1 Job Description The Prior Authorization Nurse (USRN) will support the review and submission of prior authorization requests for behavioral health treatments, medications, or services. The nurse will review...
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USRN Nurse Triage
3 days ago
Taguig, National Capital Region, Philippines Trusoft Limited Full time ₱40,000 - ₱65,000 per yearUSRN – Nurse TriageWork set up: On-site in BGC TaguigWork shift: US Time Zone; Must be open to Night ShiftSalary:2-4 yrs Clinical Experience: 40K-50K Package5-6 yrs Clinical Experience: 60K- 65KpackageStart date: Immediately/ ASAP Joiners onlyHeadcounts: 2-4 yrs experience is 5 HC, 5-6 yrs experience is 5 HCPosition Summary:The Nurse Triage USRN will serve...
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USRN (Utilization Review)
1 week ago
Taguig, National Capital Region, Philippines UST Full time ₱1,200,000 - ₱2,400,000 per yearUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members' well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care...
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USRN- Nurse Trainer
6 days ago
Taguig, National Capital Region, Philippines Tata Consultancy Services Full time ₱900,000 - ₱1,200,000 per yearJob Summary: We are seeking a dynamic and experiencedClinical Nurse Trainer (USRN)to lead onboarding, skills development, and ongoing training for registered nurses supporting telephonic triage, utilization management, prior authorization, and administrative clinical support functions. The ideal candidate will combine clinical knowledge, adult learning...
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USRN/ USRN Triage
16 hours ago
Taguig, National Capital Region, Philippines Go-Get Data Consultancy Full time ₱900,000 - ₱1,200,000 per yearJob title: USRN – Nurse TriageWork set up: On-site in BGC TaguigWork shift: US Time Zone; Must be open to Night ShiftSalary:Start date: Immediately/ ASAP Joiners onlyPosition Summary:The Nurse Triage USRN will serve as the point of clinical contact for patients in the virtualbehavioral health program. This role is responsible for scheduling appointments,...
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USRN/USRN Triage
6 days ago
Taguig, National Capital Region, Philippines StaffLink Express Full time ₱40,000 - ₱65,000 per yearJob title: USRN – Nurse TriageWork set up: On-site in BGC TaguigWork shift: US Time Zone; Must be open to Night ShiftSalary:2-4 yrs Clinical Experience: 40K-50K Package5-6 yrs Clinical Experience: 60K- 65KpackageStart date: Immediately/ ASAP Joiners onlyHeadcounts: 2-4 yrs experience is 5 HC, 5-6 yrs experience is 5 HCPosition Summary:The Nurse Triage...
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USRN | Triage Nurse | Up to 65K Salary
6 days ago
Taguig, National Capital Region, Philippines AUMTREND PH INC Full time ₱520,000 - ₱780,000 per yearPosition SummaryThe Nurse Triage USRN will serve as the point of clinical contact for patients in virtual behavioral health program. This role is responsible for scheduling appts, assisting with rx refills, assessing patient symptoms, determining urgency, documenting interactions, and directing patients to the appropriate level of care. The nurse will...
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USRN/ USRN Triage
3 weeks ago
Taguig, Philippines Go-Get Data Consultancy Full timePosition Summary The Nurse Triage USRN will serve as the point of clinical contact for patients in the virtual behavioral health program. This role is responsible for scheduling appointments, assisting with rx refills, assessing patient symptoms, determining urgency, documenting interactions, and directing patients to the appropriate level of care. Key...
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Taguig, Philippines HRTX Full timeOverview Experienced USRN – Emergency, OR, Surgical Ward, or ICU Nurse | 100K Sign-On Bonus Job Openings Experienced USRN – Emergency, OR, Surgical Ward, or ICU Nurse | 100K Sign-On Bonus About the job Experienced USRN – Emergency, OR, Surgical Ward, or ICU Nurse | 100K Sign-On Bonus Requirements Active PHRN and USRN License USRN License (Any state)...