US RN — Utilization Management (Non-Voice, Flexible Hours)

Level Up Business Process Outsourcing Services OPC; Davao del Sur; On-site; PHP 480,000 - 720,000; Full time

Benefits offered by this job

Commission incentives

Flexible hours

Job summary

Level Up Talent Solutions is seeking a Lean-Pro US Registered Nurse with an active mainland U.S. RN license to support a non-voice healthcare operations account in the Philippines.

The role reviews healthcare information, applies clinical judgment, and adheres to Utilization Management workflows to maintain quality and compliance. The ideal candidate has recent USRN experience in Utilization Management, clinical processes outsourcing, or bedside care within the last three years, and strong

Qualifications

• Active USRN license from any mainland U.S. state.
• At least 1 year of collective Utilization Management, CPO, or bedside experience within 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, organized, and able 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

Detail-oriented

Written communication

Job description

Level Up Talent Solutions is seeking a Lean-Pro US Registered Nurse with an active mainland U.S. RN license to support a non-voice healthcare operations account in the Philippines.

The role reviews healthcare information, applies clinical judgment, and adheres to Utilization Management workflows to maintain quality and compliance. The ideal candidate has recent USRN experience in Utilization Management, clinical processes outsourcing, or bedside care within the last three years, and strong