Utilization Review Nurse | UMR | PHRN | Pasay

We are seeking a highly skilled and detail-oriented PH Registered Nurse (PHRN) to join our team. The ideal candidate will have hands-on experience with InterQual , MCG , NCD , and LCD Guidelines . Key Responsibilities Conduct clinical reviews of inpatient and outpatient services using InterQual, MCG, NCD, and LCD criteria. Analyze patient records to...

Job Title: PHRN – Healthcare Account (BPO and Hospital Experience) Work Setup: 100% Onsite Work Location: Manila Start Date: ASAP Openings: 7 Job Overview We are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to...

PHRN – Healthcare Account (BPO and Hospital Experience)Work Setup: 100% OnsiteWork Location: ManilaStart Date: ASAPOpenings: 7Job OverviewWe are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to international...

Utilization Management Specialist (PHRN / Non-Voice) Join our dynamic healthcare team and make an impact by improving patient outcomes, ensuring compliance, and driving efficient healthcare delivery for our global clients. ✅ Ideal Candidate Must be a Philippine Registered Nurse (PHRN) with an active license. 1–2 years of experience in Utilization Review,...

HIRING: PHRN – Prior Authorization / UMR ExperienceWork Location: Ortigas / Quezon City / BGCSchedule: Onsite | Night Shift | Monday to FridaySalary Range: ₱45,000 – ₱50,000Start Date: ASAPJoin a leading healthcare BPO organization and take your nursing career to the next level.Qualifications:Must be a Registered Nurse (PHRN) with an active PRC...

PHRN Licensed Must have 1 to 2 yrs in UMR/Prior auth 50k onsite Can work onsite in Ortigas. can work night shift. can start asap. 45k to 50k salsry with singning Bonus. PHRN Licensed Must have 1 to 2 yrs in UMR/Prior auth 50k onsite Can work onsite in Ortigas. can work night shift. can start asap. 45k to 50k salsry with singning Bonus.

You'll be responsible for reviewing medical records and clinical documentation todetermine the medical necessity, appropriateness, and efficiency of healthcare servicesprovided. You'll work closely with physicians, case managers, and insurance providers toensure optimal patient care while supporting cost containment efforts.Job Types: Full-time,...

Key Responsibilities Supervise, coach, and mentor a team of PHRNs in handling clinical and non-clinical BPO-related tasks (e.g., utilization management, prior authorization, claims review, telehealth support). Monitor daily team performance, productivity, and quality metrics. Conduct regular performance reviews and provide constructive feedback. Assist in...

We are seeking a Philippine-licensed Registered Nurse to join our growing healthcare BPO team. The successful candidate will leverage clinical expertise to provide high-quality support to patients, healthcare providers, and insurance partners in a professional and efficient manner. This role is ideal for nurses who wish to apply their clinical background in...

USRN Licensed Team Leader (TL) – BPO Healthcare UMR Account Location: Onsite – ortiags Salary: Up to ₱90,000 + ₱100,000 Bonus Job Type: Full-Time, Night Shift Job Summary: We are looking for a highly experienced and motivated USRN Licensed Team Leader (TL) with a strong background in BPO, specifically in Healthcare UMR Accounts. The successful...