US Registered Nurse (USRN)

Gratitude Philippines; Taguig; On-site; PHP 731,203 - 875,836; Full time

Benefits offered by this job

Joining Bonus of PHP 100,000

Competitive salary package up to PHP 72,000

Job summary

A healthcare services provider in Taguig is looking for an experienced US Registered Nurse (USRN) with a background in Utilization Management. The role involves reviewing medical necessity and ensuring compliance with US guidelines. Ideal candidates must possess active PHRN and USRN licenses, have at least 6 months of relevant experience, and demonstrate strong communication skills. This is an onsite position, offering a competitive salary package and a generous joining bonus.

Qualifications

• Active PHRN license is required.
• Active USRN license is required.
• Minimum 6 months experience in Utilization Management.
• Strong English communication skills.

Responsibilities

• Conduct Utilization Management (UM) reviews for US healthcare cases.
• Evaluate clinical documentation for medical necessity.
• Ensure compliance with US healthcare regulations.
• Communicate authorization decisions clearly.
• Maintain accurate clinical documentation.

Skills

Communication skills

Utilization Management (UM)

Job description

Job Title: US Registered Nurse (USRN)

Location: Taguig City

Work Setup: Onsite

Schedule: Dayshift

Salary Package: Up to PHP 72,000

Joining Bonus: PHP 100,000

Job Fit Summary

We are hiring an experienced USRN with Utilization Management (UM) background to support US healthcare operations. This role requires active PHRN and USRN licenses, strong communication skills, and willingness to work onsite in Taguig. Ideal candidates can perform medical necessity reviews while ensuring compliance with US clinical guidelines.

Key Responsibilities

• Conduct Utilization Management (UM) reviews for US healthcare cases
• Evaluate clinical documentation for medical necessity and level of care
• Ensure compliance with US healthcare regulations and guidelines
• Communicate authorization decisions clearly and professionally
• Maintain accurate clinical documentation and case records

Qualifications (Job Fit / Must-Have)

• Active PHRN license (Required)
• Active USRN license (Required)
• Minimum 6 months Utilization Management (UM) experience
• Strong English communication skills
• Willing to work onsite in Taguig (Dayshift)
• All USRN state licenses accepted except Northern Mariana Islands (NMI)
• Former Cognizant employees are not eligible

Recruitment Process

• Talkpush Application
• Email Endorsement
• HR Interview
• Operations Interview