Current jobs related to PHRN Nurse Ops Manager 150K, USRN Senor Ops Manager 185K - Manila, National Capital Region - Global Group Innovative Services, Inc.

• 

  URGENT HIRING | PHRN Ops Manager | 150K

  6 days ago

  ---

  Manila, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time

  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...

• 

  Lead Associate – Process Training

  2 weeks ago

  ---

  Manila, National Capital Region, Philippines E-Solutions Full time

  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...

• 

  PHRN - Denials & Appeals Nurse

  1 week ago

  ---

  Manila, National Capital Region, Philippines Global Group Innovative Services Full time

  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...

• 

  Clinical Denials

  2 weeks ago

  ---

  Manila, National Capital Region, Philippines MicroSourcing Full time

  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,...

• 

  Experienced USRN

  2 weeks ago

  ---

  Manila, National Capital Region, Philippines Vee Healthtek Full time

  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...

• 

  Lead Process Training Associate

  6 days ago

  ---

  Manila, National Capital Region, Philippines Risewave Consulting, Inc. Full time

  Job Overview:We are seeking a highly skilled and motivatedLead Associate – Process Training (USRN)to support our USRN Healthcare account. The ideal candidate will have strong experience in training delivery, excellent communication skills, and a solid understanding of US Healthcare processes.Key Responsibilities:Collaborate with Operations, Training, and...

• 

  Trainers-USRN

  2 weeks ago

  ---

  Manila, National Capital Region, Philippines Gratitude Inc Full time

  Key Responsibilities:Develop training programsAssist patients or members within the healthcare sectorProvide teleconsulting servicesUnderstand regulatory requirements and healthcare provider practicesNon-Negotiable Requirements:Valid USRN License (minimum 6 months validity)1-2 years of experience in a healthcare setting (UM review, clinical...

• 

  Registered Nurse

  2 weeks ago

  ---

  Manila, National Capital Region, Philippines HRTX Full time

  We are seeking a detail-oriented and compassionate PHRN Associate to join our healthcare support team. The ideal candidate is a Philippine-licensed Registered Nurse (PHRN) who will provide clinical support for healthcare processes such as utilization management, medical review, claims processing, or telehealth services, depending on the account.This role is...

• 

  Registered Nurse

  2 weeks ago

  ---

  Manila, National Capital Region, Philippines HRTX Full time

  Job Description:We are seeking compassionate and dedicated Philippine Registered Nurses (PHRN) to join our growing healthcare team. This is an excellent opportunity for newly licensed nurses to start their professional careers in a supportive and dynamic environment.Qualifications:Must be a Philippine Registered Nurse (PHRN) with an active licenseNew passers...

• 

  Senior Recruiter

  2 weeks ago

  ---

  Manila, National Capital Region, Philippines CASM Limitlessli LLC Full time

  At Limitlessli, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering meticulously tailored services to meet our clients' unique business needs.The Opportunity:We are seeking an...