US RN - Night Shift, Onsite (Taguig) | HMO Included

J-K Network Services; Taguig; On-site; PHP 1,004,000 - 1,339,000; Full time

Benefits offered by this job

Government-mandated benefits

HMO

13th Month Pay

Sick Leave Credits

Vacation Leave Credits

Job summary

A global IT-BPO company based in Taguig is seeking a U.S. RN with a bachelor's degree in nursing, an active US RN license, and at least 5-8 years of clinical experience. The role includes reviewing clinical cases, conducting utilization reviews, and ensuring compliance with policies. This position requires work during the night shift and is onsite. Competitive benefits including government-mandated perks and health coverage are offered.

Qualifications

• Bachelor’s degree in Nursing or General Nursing required.
• Must have passed the US Nursing Licensure Exam.
• Active and unrestricted US RN license is mandatory.
• Minimum of 5-8 years of clinical experience is required.

Responsibilities

• Review clinical cases for medical necessity and benefit eligibility.
• Conduct utilization reviews (pre-service, concurrent, retrospective).
• Apply clinical guidelines and escape cases when needed.
• Coordinate with healthcare providers and internal teams.
• Ensure accurate documentation and compliance with policies.

Skills

Clinical experience

Utilization reviews

Documentation accuracy

Education

Bachelor’s degree in Nursing or General Nursing

Job description

A global IT-BPO company based in Taguig is seeking a U.S. RN with a bachelor's degree in nursing, an active US RN license, and at least 5-8 years of clinical experience. The role includes reviewing clinical cases, conducting utilization reviews, and ensuring compliance with policies. This position requires work during the night shift and is onsite. Competitive benefits including government-mandated perks and health coverage are offered.