USRN Nurses

6 days ago

Pasig, Philippines TASQ Staffing Solutions Full time

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 License. 6 months to 1 year of experience working in a U.S. healthcare account. Solid understanding of anatomy, pathophysiology, disease processes, and treatment management. Proficient in medical coding standards, including ICD-10-CM & PCS, DRG classifications (MSDRG, APR-DRG), and related clinical coding compliance. Skilled in written English and effective in creating clinical queries. Willing to work onsite in Ortigas, Pasig City. Responsibilities: 1. Clinical Documentation Review & Improvement: Review patient medical records, including progress notes, laboratory results, and physician documentation. Work closely with healthcare providers to ensure that clinical documentation is accurate, complete, and up-to-date.Identify gaps in documentation and query physicians to clarify diagnoses and procedures for accurate coding.Ensure that the documentation supports the correct DRG (Diagnosis-Related Group) assignment and that it aligns with U.S. coding standards and guidelines. 2. DRG Assignment & Compliance: Assign DRGs based on the clinical documentation provided and verify that DRG codes are correct for reimbursement purposes. Monitor DRG trends and ensure that any discrepancies or issues are flagged and resolved in a timely manner.Collaborate with coding teams to ensure that medical coding aligns with clinical documentation and DRG assignments. Maintain a thorough understanding of DRG-based reimbursement systems and U.S. healthcare regulations (CMS, ICD-10-CM/PCS, etc.).

  • Prior-Authorization Nurses USRN

    20 hours ago

    Pasig, Philippines Visaya KPO Full time

    WE'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...

  • Prior-Authorization Nurses USRN

    5 days ago

    Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time ₱450,000 - ₱900,000 per year

    WE'RE HIRING – Prior-Authorization Nurse (PHRN/USRN) – Pioneer Account Location: Ortigas (Onsite) Company: VISAYABe part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications:Graduate of BS Nursing with an active PHRN or USRN licenseAt least 3–5 years of solid experience in:Utilization...

  • Prior-Authorization Nurses USRN

    4 weeks ago

    Pasig City, Philippines Visaya KPO Full time

    WE'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...

  • Case Manager Nurse

    3 days ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    Qualifications: Graduate of BS Nursing, USRN required.At least 1 year previous hospital nursing experience or Case Management experience in a clinical setting for a US-based healthcare company, required.Experience in Prior Authorization, Case Management and Utilization ReviewExperience: Prior Authorization: 1 year (Preferred)Case Management: 1 year...

  • USRN Nurse Trainer

    1 week ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    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...

  • USRN Nurse Trainer

    6 days ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    About the job USRN Trainer (Pasig) | Onsite Work Setu p/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 Trainer Minimum 1-2 years of US Healthcare account experience (Utilization Management Review and Clinical Appeals)...

  • USRN Nurse Team Lead

    3 days ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time

    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...

  • USRN Nurse Team Lead

    1 week ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    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...

  • USRN Nurse Trainer

    3 days ago

    Pasig City, Philippines TASQ Staffing Solutions Full time

    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...

  • USRN Nurse Team Lead

    6 days ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    About the job USRN Team Leader (Pasig) | Onsite Work Setu p/Shift: WFO / Night shift Start Date: ASAP Qualifications : Active USRN License in any state BPO 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...