Utilization Management USRN Analyst

2 days ago


Western Bicutan P, Philippines GRATITUDE INC. Full time ₱400,000 - ₱800,000 per year

Gratitude Inc. is a professional HR Tech Recruitment firm specializing in recruiting permanent, contract, and temporary positions for the world's top companies. Our base is in India, Philippines, Malaysia, and Africa. We are a direct sourcing partner Company of the different top BPOs offshore and onshore.

We have an ongoing hiring for a Utilization Management USRN Analyst for our BPO Partner in Taguig City.

Job title: Utilization Management USRN Analyst

Work set up: Onsite in Uptown BGC, Taguig

Work shift: Shifting

Salary: Confidential (Will be disclosed during the client interview)

Headcount: 1

Requirements:

  • Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or Basic Bachelor of Science (BSC) in Nursing degree or Associate Nursing Degree or Nursing Diploma
  • Holds a current and unrestricted US Registered Nurse license is required
  • 3 months clinical experience (480 hours of working experience as an RN)
  • Must have at least one year of Utilization Management experience.
  • Work experience as an active RN license and providing direct patient care
  • Clinical setting includes inpatient hospital, outpatient hospital or community clinic
  • No state license required
  • Should be able to start by December 2025
  • Ready to work on-site in Taguig

Job Description

  • Grievance & Appeals
  • Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation.
  • Creates a detailed case summary in narrative format for each appeal.
  • Submits cases as directed for each applicable geographic region.
  • Presents verbal and written case summaries to the client's Grievance Team and the client's Medical Directors.
  • Completes assignments within client-designated turnaround times.

To apply, please submit your updated resume for this post or via email at and answer the pre-screening questions.

Further details will be discussed once invited for an interview.

Our recruitment team will reach out to you via WhatsApp/Viber or a direct call once shortlisted.

APPLY NOW

Job Type: Full-time

Pay: Php40, Php80,000.00 per month

Benefits:

  • Health insurance
  • Opportunities for promotion
  • Promotion to permanent employee

Application Question(s):

  • How many years of Utilization Management experience do you have?
  • Do you have an active and unrestricted US Registered Nurse license?
  • Do you have at least 3 months clinical experience?
  • How much is your last drawn salary?
  • How much is your salary expectation?
  • Are you amenable to working full onsite in uptown BGC, Taguig?
  • Are you ready to start on December 2025 once hired?

Work Location: In person



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