USRN Senior Operations Manager

This 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...

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...

A consulting firm in the Philippines is seeking a USRN Senior Operations Manager / Associate Director to oversee daily operations and manage team performance in a remote setting. The ideal candidate will enhance operational efficiencies and ensure compliance with industry standards. Responsibilities include mentoring teams, analyzing data, and collaborating...

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...

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: Work from Home! HMO on Day 1 with 2 Dependents upon regularization Group Life Insurance Highly Competitive...

USRN 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...

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 healthcare resource utilization. Key Responsibilities: Conduct concurrent and retrospective reviews of patient...

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 healthcare resource utilization. Key Responsibilities: Conduct concurrent and retrospective reviews of patient...

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 healthcare resource utilization. Key Responsibilities: Conduct concurrent and retrospective reviews of patient...

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 organization...