US Registered Nurse (USRN)

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

Job summary

A leading healthcare recruitment firm is seeking an experienced US Registered Nurse (USRN) with a Utilization Management background to support US healthcare operations. Applicants must hold active PHRN and USRN licenses and demonstrate strong communication skills. Responsibilities include conducting UM reviews and ensuring compliance with US clinical guidelines. This role offers a salary package of up to PHP 72,000 and a joining bonus of PHP 100,000. Candidates must be willing to work onsite in Taguig.

Qualifications

• Minimum 6 months experience in Utilization Management.
• Willing to work onsite in Taguig city (Dayshift).
• Experience with US healthcare regulations is preferred.

Responsibilities

• Conduct Utilization Management reviews for US healthcare cases.
• Evaluate clinical documentation for medical necessity and level of care.
• Ensure compliance with US healthcare regulations and guidelines.

Skills

Utilization Management (UM)

Strong English communication skills

Education

Active PHRN license

Active USRN license

Job description

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.

• 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

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