US Registered Nurse – Surgical / Utilization Review

Biitech Solutions; Cebu City; Hybrid; PHP 559,000 - 669,000; Full time

Benefits offered by this job

Sign-On Bonus PHP 100,000

Hybrid work after training

Onsite during training

Job summary

Biitech Solutions is seeking a US Registered Nurse (USRN) to support a healthcare account based in South Carolina. The role focuses on surgical care, clinical case management, nurse auditing, utilization review and bill review.

Initially onsite during training in Taguig or Cebu, Philippines, then a hybrid/Temporary Work From Home setup after training. The position requires 2+ years of surgical or case-management experience and an active US RN license, with October start.

Qualifications

• Active USRN license required.
• Minimum 2 years surgical experience in hospital setting.

Responsibilities

• Review medical cases and apply nursing knowledge.
• Perform nurse auditing and utilization review activities.
• Review clinical documentation for accuracy and appropriateness.
• Support complex medical case reviews and clinical decision-making.
• Collaborate with healthcare professionals and stakeholders.
• Maintain accurate documentation and ensure compliance with processes.

Skills

Nurse auditing

Utilization review

Clinical assessment

Documentation skills

Communication skills

Education

US Registered Nurse license

Job description

US Registered Nurse – Surgical / Utilization Review

Location: Taguig or Cebu, Philippines

Work Setup: Onsite during training; Hybrid / Temporary Work From Home after training

Work Schedule: Shifting

Salary: PHP 55,000 package – Fixed and Non-Negotiable

Sign-On Bonus: PHP 100,000

Start Date: October

Job Summary

We are looking for US Registered Nurses (USRN) to support a healthcare account based in South Carolina.

The role requires strong clinical experience, particularly in surgical care, clinical case management, nurse auditing, utilization review, and bill review.

Key Responsibilities

• Apply clinical nursing knowledge in reviewing and evaluating medical cases.
• Perform nurse auditing, utilization review, and bill review activities.
• Review clinical documentation and medical information for accuracy and appropriateness.
• Support complex medical case reviews and clinical decision-making.
• Apply appropriate clinical guidelines and processes in daily case management activities.
• Collaborate with healthcare professionals and other stakeholders as required.
• Maintain accurate documentation and ensure compliance with established processes and quality standards.

Qualifications

• Must be an active US Registered Nurse (USRN) with any valid mainland US state license.
• Minimum 2 years of recent surgical experience in a hospital setting is required.
• OR 2+ years of clinical case management experience with additional experience in complex medical, legal, and consult review is preferred.
• Minimum 2 years of experience in the daily application of nurse auditing, utilization review, and bill review
• Strong clinical assessment and documentation skills.
• Good communication and analytical skills.
• Willing to work on a shifting schedule
• Willing to work onsite during training in Taguig or Cebu
• Willing to transition to the applicable hybrid/TWFH setup after training.
• Available to start in October once hired.

Compensation

PHP 55,000 package

Fixed and Non-Negotiable

Sign-On Bonus: PHP 100,000

Recruitment Process

1. Validation
2. Talkpush Profile Creation
3. HR Interview
4. Hiring Manager Interview
5. Onboarding