Hiring: PHRNs with ICU/CCU/ER Experience | Up to 56,500 + ND BPO

ROLE AND RESPONSIBILITIESThe Clinical Appeals Nurse in Optum will ensure defensible and accurate case recommendations for concurrent admission, continued stay, and concurrent denial cases which are then reviewed by a Physician Advisor for completion of the concurrent and/or peer to peer review. They will be working directly with the Physician Advisors...

Nezda's Taguig based BPO partner client is URGENT HIRING for Customer Service Representatives (CSRs) to start this DECEMBER 2025 Apply now and get hired via ONE DAY VIRTUAL PROCESSWE'RE HIRING PHRN for a CSR – Healthcare Account 𝐖𝐨𝐫𝐤 𝐋𝐨𝐜𝐚𝐭𝐢𝐨𝐧: Bridgetowne, QC𝐀𝐩𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧...

Position: PHRN– VoiceWork Setup: 100% OnsiteWork Location: Bridgetowne Giga Tower, Quezon CitySchedule: Shifting / GraveyardStart Date & Headcount RequirementsQuezon City:• December 15– 30 HeadcountCompensation & BenefitsEarn Up To: ₱52,000/monthUpon Hire:•₱30,000 Basic Pay•₱10,000 Premium Allowance•₱1,000 Flex Fund AllowanceOther...

Qualifications Required QualificationsActive Philippine RN License (PHRN)Clinical experience (hospital or clinic experience preferred)Good understanding of medical terminologyGood English communication skillsPreferred / AdvantageExperience in US Healthcare BPO/CPOKnowledge of:Utilization Management (UM)Prior Authorization (PA)Medical Coding basics (ICD-10,...

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...

Job Title: PHRN CLINICAL TRAINERShift: Night shiftWork Set-up: On-site in Bridgetowne, Quezon CityStart date: Dec 31, 2025/ ASAPRecruitment Process: 2 Virtual interview processesQUALIFICATIONS:• Bachelor's Degree in Nursing with an active and valid license in PHRN• Must have at least 2 years experience in utilization management and medical necessity...

HIRING: Clinical Operations Manager (PHRN / USRN)Join a leading healthcare BPO organization and take the next step in your leadership career.POSITION 1: Clinical Operations Manager (PHRN)Compensation Package:₱150,000.00 – Base Rate₱5,000.00 – Program-Specific Allowance₱2,800.00 – Non-Taxable AllowanceTotal Compensation Package: ₱157,800.00 per...

Looking to level up your healthcare BPO career?This is your chance to join a high-performing teamthat values expertise, growth, and meaningful impact. We're expanding fast — and we're opening our doors to top healthcare talents ready to make a real difference.We havemultiple on-site opportunitiesacrossClinical, Operations, Training, and Quality— all...

Job Title: PHRN – Appeals & Denials NurseWork Setup:On-site, Bridgetowne, Quezon CityShift:Night ShiftSalary Package:PHP 50,762 (Basic: 43,762 + 7,000 Allowance)Signing Bonus:Released on first payout for candidates who can join onDecember 9or immediatelyTarget Start Date:December 9, 2025Headcount:12Role SummaryThe PHRN Appeals & Denials Nurse is...

Hiring: PHRN (Philippine Registered Nurse) Work Setup: Onsite – Bridgetowne, Quezon City (Philippines) Schedule: Night Shift Start Date: ASAP Salary & Benefits Package• ₱30,000 Basic Salary• +20% Night Differential• ₱1,000 Monthly Flex Fund• ₱10,000 Account Premium Allowance• ₱20,000 One-Time Relocation Allowance (subject to approval)•...