Quality Assurance (Registered Nurse)

The Lead Tree - Clark Outsourcing; Angeles; On-site; PHP 446,000 - 781,000; Full time

Benefits offered by this job

Health plan (HMO) with prescription

Paid holidays

Career growth via CO Academy

Travel opportunities to US/UK/Austria

Wellness leave

CO swag & events

Job summary

Clark Outsourcing is seeking a Quality Assurance Registered Nurse to join our Clark Pampanga operations as a Nursing Support & Quality Specialist. The role combines clinical nursing support, quality assurance, patient coordination documentation review, scheduling support, compliance, and healthcare operations.

The ideal candidate will manage multiple priorities, communicate with clinical teams, and ensure that patient and employee records are accurate and up to date, while maintaining

Qualifications

• RN with 3–5 years of nursing or healthcare experience.
• Experience in home health, skilled nursing, healthcare operations, quality assurance, clinical auditing, or care coordination preferred.
• Strong knowledge of clinical documentation and healthcare compliance.
• Experience with EHR/EMR or healthcare management systems.
• Excellent written and verbal communication skills.
• Strong attention to detail and organizational skills.
• Ability to manage multiple priorities and deadlines.
• Ability to work independently in a remote environment.

Responsibilities

• Clinical & Patient Support: Support intake and new patient entry; monitor nursing emails; assist with patient follow-ups and discharges; support scheduling; monitor authorizations and orders; respond to inquiries.

Skills

RN

Patient coordination

Documentation

Communication

Attention to detail

Independent work

Tools

EHR/EMR systems

Job description

Position Title: Quality Assurance Registered Nurse

Work Set Up: On-Site

Schedule: 8:00 PM - 5:00 AM PHT

Job Location: Clark Outsourcing - Building 35 Philexcel Business Park, Clark Pampanga

Quick Rundown:

We are looking for an experienced and highly organized Registered Nurse (RN) to join ourteam as a Nursing Support & Quality Specialist.

This role combines clinical nursing support, quality assurance, patient coordination documentation review, scheduling support, compliance, and healthcare operations. The ideal candidate will be comfortable managing multiple priorities, working independently,communicating with clinical teams, and ensuring that patient and employee records areaccurate and up to date.

This is a great opportunity for an RN who enjoys both clinical and administrative responsibilities and has strong attention to detail and follow-through.

What You'll Do:

Clinical & Patient Support

• Support central intake and new patient/client entry.
• Monitor nursing emails for patient updates, orders, service changes, and supplyrequests.
• Assist with patient follow-ups, discharges, and clinical coordination.
• Support skilled nursing scheduling and scheduling changes.
• Monitor authorizations, pending signatures, and outstanding clinical orders.
• Assist with answering incoming calls and responding to inquiries.

Quality Assurance & Auditing

• Conduct patient and employee chart audits.
• Review clinical documentation for accuracy, completeness, and compliance.
• Monitor care documentation, touchpoints, and required follow-ups.
• Review alerts and care note exceptions and coordinate appropriate follow-up.
• Identify documentation or quality concerns and elevate them when necessary.
• Support Performance Improvement Plan (PIP) reviews and quality improvement initiatives.

Documentation & Systems

• Review nursing orders and required documentation.
• Prepare and send forms through PandaDoc.
• Upload completed forms, SOC forms, faxes, and other documentation into applicable systems.
• Maintain accurate client, employee, and clinical records.
• Maintain required trackers, dashboards, and supervisory visit/touchpoint records.

Compliance & Quality Improvement

• Support HIPAA and other healthcare compliance requirements.
• Assist with Joint Commission (JC) compliance activities.
• Review and update SOPs and procedures as needed.
• Participate in Quality Committee meetings.
• Assist with quarterly quality initiatives and monthly OIG checks.
• Review DON meeting information and prepare meeting recaps.
• Identify opportunities to improve clinical and operational processes.

Healthcare Provider & Account Support

• Assist with Healthcare Provider (HCP) management.
• Maintain HCP-related records and the HCP Do Not Call List.
• Support National Account needs and follow-ups.
• Assist with communication between clinical, administrative, scheduling, andleadership teams.
• Support National, Local, and School accounts as assigned.

Administrative & Operational Support

• Maintain employee and client tracking boards.
• Assist with employee-related administrative activities, including termination and system access updates.
• Participate in weekly staff meetings and other operational meetings.
• Maintain accurate records and ensure assigned follow-ups are completed on time.
• Contact approximately three National, Local, or School accounts per week, as assigned.

What We're Looking For:

• Registered Nurse (RN)– Required
• 3–5 years of nursing or healthcare experience
• Experience in home health, skilled nursing, healthcare operations, quality assurance, clinical auditing, or care coordination is preferred.
• Strong knowledge of clinical documentation and healthcare compliance.
• Experience with EHR/EMR or healthcare management systems.
• Excellent written and verbal communication skills.
• Strong attention to detail and organizational skills.
• Ability to manage multiple priorities and meet deadlines.
• Strong follow-up and problem-solving abilities.
• Ability to work independently in a remote environment.
• Comfortable communicating with patients, clinicians, healthcare providers, clients, and internal teams.
• Ability to maintain confidentiality and handle sensitive patient information appropriately.

Why You'll Love Joining the CO Fam!

At Clark Outsourcing, we're redefining what it means to work in a BPO. This isn't your regular office setup - it's where careers flourish, friendships grow, and fun is always part of the deal. Our culture is unmatched (seriously, our team swears by it), and we promise you'll have to experience it yourself to believe it.

Here's what's in store for you:

Health and Welfare Benefits: HMO with prescription coverage, SSS, PhilHealth, Pag-IBIG, 13th-month pay, retirement benefits, and more.

Beyond Work: Enjoy our in-office swimming pool (lowkey flex!), CO Club gaming lounge, CSR involvement through CO Stars, scholarship programs, and access to CO Academy for growth.

Travel Opportunities: We send at least 20 staff per year to visit our clients in the US, UK, and Australia, giving you international exposure and experience.

Leave Benefits: Paid holidays, Earned PTO on your first month, Wellness leave (no questions asked), plus special leaves like bereavement, parental leave, and Magna Carta leave.

Extra Perks: Salary loans up to PHP 1M (via BPI), CO Swag Bag, birthday and anniversary tokens, and our COol & flexible workplace.

Growth and Recognition: Yearly performance appraisals, career advancement programs, CO League events, and guidance from our amazing Coaches!

At CO, it's not just about work - it's about loving where you work. Ready to experience the best workplace ever? We can't wait to welcome you to the team!