Senior RN — Utilization & Appeals Analyst

Bravissimo Resourcing Inc.; Taguig; On-site; PHP 223,200 - 390,600; Full time

Job summary

A healthcare staffing company in Metro Manila seeks a skilled Registered Nurse to create appeal records and case summaries for external reviews. The ideal candidate must possess a valid US RN license and at least 3 months of clinical experience in diverse settings including hospitals and clinics. This position requires effective communication for presenting cases and meeting designated turnaround times. The role also welcomes additional leadership experience in team lead or quality assurance roles.

Qualifications

• Must hold current and unrestricted US Registered Nurse license.
• Minimum 3 months clinical experience as a RN.
• Experience in inpatient, outpatient, or community clinic settings required.

Responsibilities

• Creates complete appeal records for external appeal reviews.
• Submits cases and presents summaries to client's Grievance Team.
• Completes assignments within client-designated turnaround times.

Skills

Clinical experience

Patient care

Leadership skills (TL, QA, Trainer)

Education

Bachelor of Science Nursing (BSN)

General Nursing & Midwifery Diploma

Associate Nursing Degree

Job description

A healthcare staffing company in Metro Manila seeks a skilled Registered Nurse to create appeal records and case summaries for external reviews. The ideal candidate must possess a valid US RN license and at least 3 months of clinical experience in diverse settings including hospitals and clinics. This position requires effective communication for presenting cases and meeting designated turnaround times. The role also welcomes additional leadership experience in team lead or quality assurance roles.