US Registered Nurse — Utilization & Medical Review

Level Up Business Process Outsourcing Services OPC; Cebu City; On-site; PHP 446,000 - 670,000; Full time

Benefits offered by this job

Commission, Incentives

Flexible Hours

Job summary

Level Up Talent Solutions is seeking a US Registered Nurse (any mainland license) to support a non-voice healthcare operations account on-site in Cebu. The RN will review cases, apply clinical judgment, and ensure compliance with Utilization Management workflows and documentation standards.

The ideal candidate holds an active USRN license, with recent experience in Utilization Management, CPO, or bedside care within three years, and demonstrates strong written communication and attention to

Qualifications

• Active USRN license from any mainland U.S. state.
• At least 1 year of Utilization Management, CPO, or bedside experience in the past 3 years.
• Strong clinical judgment and ability to work with healthcare-related documentation.
• Comfortable working in a non-voice healthcare account.
• Detail-oriented with ability to follow process guidelines accurately.
• Strong written communication and documentation skills.
• Able to meet quality and productivity standards in a healthcare operations environment.

Responsibilities

• Support non-voice healthcare operations using clinical knowledge and account-specific guidelines.
• Review healthcare-related cases, records, or process outputs accurately.
• Apply clinical judgment when reviewing information and completing assigned tasks.
• Follow Utilization Management, CPO, documentation, and workflow requirements.
• Maintain quality, productivity, compliance, and turnaround-time expectations.
• Escalate complex cases, documentation issues, or process concerns when needed.
• Participate in training, calibration, and performance improvement activities.

Skills

Clinical judgment

Written communication

Detail oriented

Non-voice support

Education

US RN license (mainland)

Job description

Level Up Talent Solutions is seeking a US Registered Nurse (any mainland license) to support a non-voice healthcare operations account on-site in Cebu. The RN will review cases, apply clinical judgment, and ensure compliance with Utilization Management workflows and documentation standards.

The ideal candidate holds an active USRN license, with recent experience in Utilization Management, CPO, or bedside care within three years, and demonstrates strong written communication and attention to