A global digital solutions provider in Taguig is seeking a US Registered Nurse. This role involves reviewing clinical cases, conducting utilization management reviews, and ensuring compliance with medical policies. The ideal candidate holds a Bachelor’s degree in Nursing, a current US Registered Nurse license, and has 2-3 years of clinical experience. Benefits include government mandated benefits, HMO, 13th month pay, and leave credits. This position requires on-site work with night shifts.
Qualifications
Holds current and unrestricted US Registered Nurse license.
At least 2-3 years of clinical experience.
Amenable to work as soon as possible.
Responsibilities
Review clinical cases for medical necessity and benefit eligibility.
Conduct utilization management reviews.
Apply clinical guidelines and escalate cases as needed.
Coordinate with providers and internal teams.
Ensure accurate documentation and compliance with policies.
Skills
Clinical review
Utilization management
Documentation accuracy
Education
Bachelor’s degree in Nursing
US Nursing License
Job description
A global digital solutions provider in Taguig is seeking a US Registered Nurse. This role involves reviewing clinical cases, conducting utilization management reviews, and ensuring compliance with medical policies. The ideal candidate holds a Bachelor’s degree in Nursing, a current US Registered Nurse license, and has 2-3 years of clinical experience. Benefits include government mandated benefits, HMO, 13th month pay, and leave credits. This position requires on-site work with night shifts.