
USRN and NCLEX Passers with Hospital Bedside Experience
4 days ago
Candidate Pooling in Preparation for Hiring Requirements
ROLE AND RESPONSIBILITIES
- Function is responsible for performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.
- Conduct Non-Clinical Research to Support Determinations. Determine that the case is assigned to the appropriate team and health plan for review (e.g., Medicare, Medicaid, Commercial, Dual Special Needs Plan)
- Review Existing Clinical Documentation. Review/interpret clinical/medical records submitted from provider (e.g., office records, test results, prior operative reports)
- Make Final Determinations Based on Clinical and Departmental Guidelines. Understand and adhere to applicable legal/regulatory requirements (e.g., federal/state requirements, HIPAA, CMS, NCQA/URAC accreditation)
- Achieve and Maintain Established Productivity and Quality Goals. Adhere to relevant quality audit standards in performing reviews, making determinations and documenting recommendations.
Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life's best work.SM.
JOB QUALIFICATIONS
- Valid and unrestricted USRN license and PHRN License required
- Must have a minimum of 2 years hospital (bedside) experience (ICU, ER, Medical Surgical, OR)
- Clinical competence in understanding hospital care and care coordination
- Knowledge in computer navigation
WHAT WE OFFER
- Market Total Rewards Package
- Retirement Plan
- Medical Plan (HMO) from Day 1 of employment
- Temporary Work at Home set-up
- Dental, Medical, and Optical Reimbursements
- Life and Disability Insurance
- Paid Time-Off Benefits
- Sick Leave Conversion
- Tuition Fee Reimbursement
- Employee Assistance Program (EAP)
- Annual Performance Based Merit Increases
- Employee Recognition
- Training and Staff Development
- Employee Referral Program
- Employee Volunteerism Opportunity
- All Mandatory Statutory Benefits
WHO WE ARE
- Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
- UnitedHealth Groupis a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
- We're a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
- As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
- We're a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
- Elevate your career with a leading health care company while improving lives.
Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to Caring. Connecting. Growing together
-
USRN NCLEX Academy Sponsorship Program
4 days ago
Manila, National Capital Region, Philippines Shearwater Health Full time ₱30,000 - ₱60,000 per yearLet your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersPhysical Sites: Taguig, Pampanga, and CebuOur Clinicians & Associates advocates for better patient care while enjoying these benefits:Temporary Work from Home during review period*All expense-paid NCLEX Scholarship*Guaranteed USRN account...
-
NCLEX REVIEW
2 days ago
Manila, National Capital Region, Philippines RSD Human Resource Management Consultancy Full time ₱250,000 - ₱400,000 per yearAt least 2 years solid Hospital or Medical Centers Bedside Exp (as Staff Nurse) and can Provide COEActive PRC licenseReview from home set-up but must be willing to report onsiteAmenable to complete 2 year bondActive PRC licenseNo pending NCLEX Application or No Active ATTNo Batch 1999's below graduate and take note of the Red flags schoolMust be willing to...
-
Review Nurse
4 days ago
Manila, National Capital Region, Philippines AUMTREND PH INC Full time ₱324,000 - ₱432,000 per yearNOW HIRING: NCLEX Review Nurse (Work-from-Home with Onsite Requirements)Future USRN | NCLEX Sponsorship ProgramWork-from-Home Setup (with Onsite Reporting When Required)Night Shift / Shifting Schedules | Weekends OffOverview:Join a top-tier NCLEX Sponsorship Program designed for committed Filipino RNs who are ready to take their nursing career to the next...
-
NCLEX Staff Nurse
2 days ago
Manila, National Capital Region, Philippines ACCPRO INTERNATIONAL Full time ₱30,000 - ₱60,000 per yearNCLEX Staff Nurse (Healthcare Account – Voice)Locations: Manila (MNL) & Cebu (CEB)Industry: Healthcare / BPOCompensation & Perks:Monthly Allowance₱30,000 Signing Bonus (exclusive for NCLEX joiners in October & November 2025)Review-from-home set-up, with willingness to report onsite when requiredNight shift / shifting schedules, with weekends...
-
Medical Professionals
2 days ago
Manila, National Capital Region, Philippines Stark Asia Solutions Inc. Full time ₱25,000 - ₱65,000 per yearWe Are Hiring Build Your Healthcare Career With UsWe are expanding our healthcare team and looking for skilled and passionate professionals to join us. Explore the exciting opportunities below:Position: Certified Medical CoderLocation: Metro Manila. DavaoQualifications:Active CPC/CPC-AWith or Without coding experienceSalary and Benefits:25,000 to 32,000 +...
-
usrn
4 weeks ago
Manila, National Capital Region, Philippines Nezda Global Full timeOverviewNezda Technologies Inc. is currently looking for USRN.You may earn up to P 68,000 and get a chance to have P 100,000 Sign on Bonus.QualificationsActive PHRN and USRN License (mainland state).At least 1 year hospital experience.Job DescriptionConduct Non-Clinical Research to Support Determinations.Determine that the case is assigned to the appropriate...
-
Manila, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time ₱1,200,000 - ₱1,800,000 per yearWE'RE HIRING: USRN – Hospital Setting (Onsite, Ortigas)Location: Ortigas, Manila (Onsite)Type: Full-timeShift: 8-hour shiftSalary: Up to PHP 60,00 to 65,000/monthStart Date: ASAPQualifications:Active USRN license – New York StateMinimum 2 years of hospital/acute care experienceWilling to work onsite in Ortigas, ManilaCan start immediatelyNote: No signing...
-
usrn
4 days ago
Manila, National Capital Region, Philippines Rural Healthcare Solutions Full time ₱900,000 - ₱1,200,000 per yearCompany DescriptionWe suggest you enter details here.Role DescriptionThis is a full-time remote role for a USRN. The USRN will be responsible for providing remote clinical services to patients, including triage, patient education, and coordination of care. The role involves using telehealth technology to evaluate and assess patient conditions, manage...
-
Clinical Nurse Case Manager – USRN
4 weeks ago
Manila, National Capital Region, Philippines Nezda Global Full timeOverviewNezda Technologies Inc. is currently hiring for Clinical Nurse Case Manager - USRN.Salary: P 50,000 - P 68,000 (with Perks and benefits).Work Set up: Work From HomeThis position is offered through partnerships with multiple companies; you have an option to choose the company that fits you best. This is a direct employment opportunity with no...
-
US Registered Nurse
4 days ago
Manila, National Capital Region, Philippines Shearwater CPO® - Home of Clinicians Full time ₱1,200,000 - ₱2,400,000 per yearLet your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryComplexity AllowanceAnnual Salary IncreaseQuarterly...