USRN Health Clinical Services Leader – Night Shift, Onsite

Gratitude Inc; Taguig; On-site; PHP 1,000,000 - 1,800,000; Full time

Job summary

A healthcare services company is seeking a Health Clinical Services Senior Manager (US Registered Nurse) in Taguig. The role involves leading clinical review operations, ensuring compliance, and managing healthcare teams. Candidates need an active USRN license, a minimum of 12 years clinical experience, and 10 years in a leadership position. This onsite position requires night shifts with weekends off. Salary details will be discussed during the selection process.

Qualifications

• Active and unrestricted USRN license from any US state.
• Minimum 12 years of clinical experience.
• At least 10 years in a supervisory or leadership role.

Responsibilities

• Lead clinical teams in utilization and medical necessity reviews.
• Manage compliance with medical policies and member eligibility.
• Coordinate with healthcare providers to gather necessary clinical information.

Skills

Clinical leadership

Utilization management

Regulatory compliance

Claims analysis

Job description

A healthcare services company is seeking a Health Clinical Services Senior Manager (US Registered Nurse) in Taguig. The role involves leading clinical review operations, ensuring compliance, and managing healthcare teams. Candidates need an active USRN license, a minimum of 12 years clinical experience, and 10 years in a leadership position. This onsite position requires night shifts with weekends off. Salary details will be discussed during the selection process.