USRN BPO

OverviewJoin to apply for the USRN BPO - Utilization Review Supervisor role at NTT DATA North AmericaResponsibilitiesManages a staff of professional-level team members or manages a team through lower-level supervisors manging healthcare Payer claims adjudication processWorks within general policies and management guidance, independently determining approach...

Position: USRN – MCG Inpatient Concurrent ReviewerWork Setup: Temporary Work from HomeShift: Night ShiftWork Location: OrtigasQualifications:Valid USRN and PHRN licensesAt least 1 year of BPO experience handling MCG Inpatient Concurrent casesMinimum 3 years of bedside hospital experienceWilling to work night shift and report onsite in Ortigas when...

We're looking for skilled Utilization Review Nurses (PHRN-USRN) to join our dynamic team and ensure medical necessity, cost-efficiency, and compliance with health plan policies and regulatory standards. QualificationsMust have active PHRN or USRN licenseMust have 1 year of experience in utilization review in a healthcare BPO set upExcellent verbal and...

Job Description Philippines-based USRNs can now work in the Philippines and secure a high paying job that offers career growth without being away from their family. All Hires will receive Signing Bonus of 100,000Provide excellent healthcare services to US based patients/health insurance cardholders Assists patients with questions regarding their medical...

Press Tab to Move to Skip to Content LinkSelect how often (in days) to receive an alert: Create AlertDate: Aug 12, 2025Location: Manila, 00, PHCompany: NTT DATA ServicesRoles and Responsibilities- Manages a staff of professional-level team members or manages a team through lower-level supervisors manging healthcare Payer claims adjudication process- Works...

Roles and Responsibilities Manages a staff of professional-level team members or manages a team through lower-level supervisors manging healthcare Payer claims adjudication processWorks within general policies and management guidance, independently determining approach to managing daily operations.Provides guidance and technical advice, becoming actively...

Job Description Perform Utilization Management reviews in accordance with federal state mandated regulations. Utilizes the member's contract to determine coverage eligibility. Works with providers and take action while exhibiting judgment and a realistic understanding of the issues. Liaise with research team in order to accurately collect and...

Let your Passion Lead You at the Home of Clinicians with over 5000 employees who have trusted us with their careers Physical Site: Taguig, Pampanga, and Cebu Our Clinicians & Associates advocates for better patient care while enjoying these benefits: Temporary Work from Home Setup / Hybrid Setup (for selected accounts) HMO on Day 1 with 2 Dependents...

Manulife National Capital Region, PhilippinesLTC Care Manager (USRN)Manulife National Capital Region, Philippines1 week ago Be among the first 25 applicants Are you looking for a supportive and collaborative workplace with great benefits and clear career development? You've come to the right place.Why choose Manulife?Competitive Salary packages and...

Senior Operations Manager – USRN (BPO Healthcare Account) Location: NCR, Philippines (Onsite) Account: UMR Healthcare Compensation: Salary will be based on your most recent paycheck Qualifications: • 3 to 5 years of experience as a Senior Operations Manager in a BPO Healthcare account • Valid PHRN and USRN licenses • Strong leadership background...

USRN Licensed Team Leader (TL) – BPO Healthcare UMR Account Location: Onsite – ortiags Salary: Up to ₱90,000 + ₱100,000 Bonus Job Type: Full-Time, Night Shift Job Summary: We are looking for a highly experienced and motivated USRN Licensed Team Leader (TL) with a strong background in BPO, specifically in Healthcare UMR Accounts. The successful...

USRN Candidate Profile – For Immediate Consideration Position: USRN – MCG Account Expected Salary: PHP 89,000 to PHP 90,000 Work Location: Onsite – Ortigas Availability: Can start ASAP Shift: Amenable to graveyard shift Licenses: Valid PHRN and USRN licenses Experience: 1 year MCG experience in a BPO setting (concurrent) 3 years bedside...

USRN Trainer MANILA • Active USRN License of any state (NY preferred) • Minimum 1-2 years’ experience in a US Healthcare account (Utilization Management Review and Clinical Appeals) • Experience with utilization of Interqual/MCG Guidelines • Exposure to Inpatient/Concurrent reviews • Night shift schedule With at least 1 year experience as a...

Position: USRN – MCG Inpatient Concurrent Reviewer Work Setup: Temporary Work from Home Shift: Night Shift Work Location: Ortigas Qualifications: Valid USRN and PHRN licenses At least 1 year of BPO experience handling MCG Inpatient Concurrent cases Minimum 3 years of bedside hospital experience Willing to work night shift and report onsite in Ortigas...

Overview Join to apply for the USRN BPO - Utilization Review Supervisor role at NTT DATA North America Responsibilities Manages a staff of professional-level team members or manages a team through lower-level supervisors manging healthcare Payer claims adjudication process Works within general policies and management guidance, independently determining...

URGENT HIRING START ASAP APPLY NOW VIRTUAL PROCESSA. USRN - ORTIGAS, PASIG CITY (TEMPORARY WFH)OFFER AND BENEFITS:UP TO 95,000 SALARY PACKAGE (DEPENDING ON THE EXPERIENCE)HMO, NIGHT DIFFERENTIAL, AND OTHER BENEFITS WILL BE DISCUSS ON THE JOB OFFERMINIMUM QUALIFICATIONS:MUST HAVE ACTIVE USRN AND PHRN LICENSEWITH AT LEAST 1 YEAR INPATIENT CONCURRENT REVIEW MCG...

4 days ago Be among the first 25 applicants Direct message the job poster from Omega Healthcare Management Services Primary Duties and Responsibilities: · Ensure that training and assessments happen as per statutory requirements. · Give feedback and coach trainees on key job capabilities. · Update and develop content as per client and business...

Optum National Capital Region, Philippines Join or sign in to find your next job Join to apply for the US Registered Nurse Alabang role at Optum Optum National Capital Region, Philippines 2 days ago Be among the first 25 applicants Join to apply for the US Registered Nurse Alabang role at Optum Optum is a global organization that delivers care, aided by...