| Description: |
Client Profile: A globally recognized organization with over four decades of established operations in the Philippines, providing digital solutions, technology services, and operational support across diverse industries.
Position: US Registered Nurse
Industry: IT BPO Company
Location: Taguig City
Salary: Negotiable
Schedule: Nightshift
Work Set up: Work on site
Benefits:
Government mandated Benefits
HMO
13th month pay
Sick Leave Credits
Vacation Leave Credits
Job Requirements:
Bachelor’s degree in Nursing or General Nursing
Pass the U.S nursing licensure exam
Holds current and unrestricted US Registered Nurse license
At least 3 months of clinical experience
Amenable to work as soon as possible
Job Responsibilities:
Review and evaluate clinical cases for medical necessity and benefit eligibility
Perform utilization management (pre-service, concurrent, retrospective reviews)
Apply clinical guidelines and escalate cases to medical directors when needed
Coordinate with healthcare providers and clinical teams
Document case reviews accurately and ensure compliance with policies and regulations
Recruitment Process: Online and Face to Face
Initial interview
Final interview
JOB OFFER
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