USRN Nurses

1 day ago

Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time $104,000 - $130,878 per year

Job Title: CDI / DRG Specialist (Pasig) | Onsite
Work Arrangement/Shift: Onsite (Work From Office), Night Shift
Start 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

    1 day ago

    Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time $40,000 - $60,000 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...

  • USRN Nurse Team Lead

    1 day ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time $104,000 - $130,878 per year

    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

    1 day ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time $104,000 - $130,878 per year

    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 - Case Manager - Pasig

    1 day ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time ₱104,000 - ₱130,878 per year

    TASQ is urgently hiring a USRN Case Manager for an on-site role in Pasig. The pre-screening interview will be conducted via a phone call.Work set up/schedule: Night Shift | Onsite HMO day 1 with 1 free dependent Qualifications:Must hold a Bachelor's degree in Nursing and have an active USRN license At least one year of experience in a hospital or clinical...

  • USRN Team Leader

    1 day ago

    Pasig, National Capital Region, Philippines Tasq Staffing Solutions&prev=search&pto=aue Full time $40,000 - $60,000 per year

    About the job USRN Team Leader (Manila) | Onsite Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications:USRN License any state as long as active Leadership experience in BPO or hospital recent (ER or ICU experience) Responsibilities:Lead, supervise, and motivate a team of US Registered Nurses (USRNs), ensuring they meet performance...

  • Case Manager Nurse

    1 day ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time $104,000 - $130,878 per year

    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...

  • USRN Team Leader

    1 day ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time $104,000 - $130,878 per year

    Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications:USRN License any state as long as activeLeadership experience in BPO or hospital recent (ER or ICU experience) Responsibilities:Lead, supervise, and motivate a team of US Registered Nurses (USRNs), ensuring they meet performance standards and quality targets.Allocate daily tasks, set...

  • Case Manager Nurse

    1 day ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time $104,000 - $130,878 per year

    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 Trainer

    1 day ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time $104,000 - $130,878 per year

    Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications:Bachelor's Degree in Nursing (BSN)Active USRN License of any state (NY preferred) Atleast 1-2 years as a Process TrainerMinimum 1-2 years experience in a US Healthcare account (Utilization Management Review and Clinical Appeals)Experience with utilization of Interqual/MCG GuidelinesExposure...

  • Utilization Review Nurse

    1 day ago

    Pasig, National Capital Region, Philippines VISAYA Full time $40,000 - $60,000 per year

    About Visaya KPO:Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture ofmalasakit. We are committed to building long-term partnerships through quality, reliability, and a people-first approach.Role Overview:We are seeking a skilled Utilization...