PHRN Nurse Ops Manager 150K, USRN Senor Ops Manager 185K

Key ResponsibilitiesOversee end-to-end UM operations and ensure SLA and quality complianceManage profitability, seat utilization, and retention performanceLead and coach a clinical team of up to 100 employeesEnsure adherence to MCG, InterQual, NCQA, and ODG guidelinesBuild strong client relationships and conduct regular business reviewsCollaborate with...

Key Qualifications:Bachelor's Degree in Nursing (BSN)Must have active PHRN/USRN licenseAt least 1 year of experience in BPO (US Healthcare)Relevant experience in Customer Service, Pre-Authorization, Medical Reception in a BPO settingWorking knowledge about US-based insurance, pre-authorization, verification, health claims and eligibility claimsHiring...

USRN – Healthcare Voice Account100% Onsite | Bridgetowne Giga Tower, Quezon CityShifting Schedule (Graveyard/Night Shift)Start Date: December 8, 2025Openings: 10 headcountEarn Up To ₱76,000/month + ₱100,000 Sign-On BonusGuaranteed Monthly Package Upon Hiring:• ₱50,000 Basic Pay• ₱10,000 Premium Allowance• ₱1,000 Flex Fund...

Key Qualifications:Bachelor's Degree in Nursing (BSN)Must have active PHRN/USRN licenseOpen to PHRN with BPO experienceHiring Process:HR InterviewHM's paper screeningHiring Manager's InterviewJob OfferBenefits:Account Premium on top of Base Pay13th & 14th Month PayHMO + Life Insurance on Day 120% Night DifferentialJob Types: Full-time, PermanentPay: Up to...

Job details:Work from home set upNight ShiftCan Start ASAPJob Qualifications:Has minimum of at least 2-3 years of experience in a Clinical Auditing role handling a USRN Healthcare account• Graduate of BS Nursing, licensed PHRN and must be a US-Licensed Registered Nurse - current and unrestricted license to practice nursing in at least one state of the...

Salary:Up to Php 110kSchedule:NightshiftJob Summary:Responsible for developing, delivering, and evaluating training programs for US Registered Nurses (USRNs) and Philippine Registered Nurses (PHRNs) supporting US healthcare accounts. This role requires a strong understanding of adult learning principles, performance gap analysis, and training governance to...

Job SummaryWe're hiring PH Registered Nurses (Client Insurance) to collaborate with healthcare providers and members to ensure quality, medically appropriate, and cost-effective care.You'll assess inpatient and outpatient medical necessity, coordinate discharge planning, and support utilization management and appeals review.ResponsibilitiesEvaluate medical...

US Registered Nurse (USRN) – Voice AccountWork Setup: Work From HomeSchedule: Shifting / GraveyardStart Date: December 15Compensation & BenefitsEarn up to ₱76,000/month + ₱100,000 Sign-On BonusUpon Hire:₱50,000 Basic Pay₱10,000 Premium Allowance₱1,000 Flex Fund AllowanceAdditional Benefits:20% Night DifferentialHMO Coverage on Day 1 (with...

Discover your 100% YOU with MicroSourcingPosition: Clinical Denials & Appeals Nurse Specialist - IP & OPLocation: TaguigWork setup & shift: Onsite | Night shiftWhy join MicroSourcing?You'll have:- Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one (for you and at least one dependent), paid time-off with cash conversion,...

Company DescriptionVee Healthtek delivers transformative solutions to healthcare organizations, leveraging industry expertise and a results-driven approach to provide maximum value. We specialize in creating customized strategies that address unique organizational challenges and unlock growth opportunities. By employing technology-driven services, we...