usrn manager

Work Setup: OnsiteLocation: BGC, TaguigBase Salary: PHP 90,000- 100,000.00BenefitsHMOMandatory Benefits13th month payRoles and ResponsibilitiesOversee and manage a team of patient call representatives handling various medical concernsOffer guidance on chronic disease, medication management, and mental health issues.Direct patients to appropriate healthcare...

We’re looking for a USRN Care Manager to join our Insurance Operations team at MBPS. In this role, you will evaluate medical documentation and claim information against policy terms and conditions to determine eligibility for insurance benefits. You will interpret policy language, analyze medical evidence, and make accurate claim decisions while ensuring...

Job Title: Health Clinical Services Senior Manager – USRN Work Setup: Onsite Location: Uptown Bonifacio, Taguig Work Schedule: Night Shift | Weekends Off Job Summary: We are seeking an experienced US Registered Nurse (USRN) to lead clinical review operations and manage high-performing healthcare teams. This role oversees utilization management, medical...

Position Title: USRN Assistant Manager – For Internal Hiring ShiftResponsibilitiesServe as the operations point of contact for Medical Management day‑to‑day operations, facilitating issue resolution and meeting goals and targets.Act as a liaison for internal and external groups for program initiatives.Create, launch, and drive critical account...

Position Title: USRN Assistant Manager - For Internal Hiring Job Description: Responsible for serving as the operations point of contact for Medical Management day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets. Primary duties may include, but are not limited to: Acts as a liaison for both internal...

Position Title:USRN Assistant Manager - For Internal HiringShift:Job Description:Responsible for serving as the operations point of contact for Medical Management day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets.Primary duties may include, but are not limited to:Acts as a liaison for both internal...

About the roleUSRN Program Manager responsible for managing utilization review processes and clinical oversight across the Hartford Account.Key responsibilitiesManage USRN program activities and processesOversee utilization management functionsProvide clinical subject matter expertise and technical knowledge to accomplish results related to the process...

Lead Healthcare Operations With Your Clinical ExpertiseWe’re seeking an experienced USRN Program Manager with strong Utilization Management and leadership experience to drive clinical excellence and operational performance.EligibilityActive USRN license — any U.S. state2+ years of Utilization Management experience2+ years of recent supervisory or...

About the job USRN - Case Manager - PasigTASQ is urgently hiring a USRN Case Manager for an on-site role in Pasig.The pre-screeninginterview will be conducted via a phone call.Work set up/schedule: Night Shift | OnsiteHMO day 1 with 1 free dependentQualifications:Must hold a Bachelor's degree in Nursing and have an active USRN licenseAt least one year of...

Gratitude Philippines is looking for a USRN Program Manager to lead the Hartford Account with a strong background in Utilization Management and proven leadership. The role supports 1 USRN Program Manager position and involves a solid clinical foundation, team management, and applying expertise to achieve results. The position offers a temporary...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

VRI Crew seeks a USRN Utilization Management Nurse to review medical necessity for prospective, concurrent, and retrospective cases in line with client rules and company policies. You will support cost-effective care for injured employees while coordinating with care teams.The role requires an active US Nursing License, at least 1 year of bedside hospital...

About the Role:As a USRN Utilization Management Senior Analyst, you will perform the following duties and responsibilities: Grievance & Appeals Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. Creates a detailed case summary in narrative format for...