US Registered Nurse — Utilization Management (Onsite)

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

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.