USRN QA Auditor - Utilization Review (Remote, Shifts)

WeSupport, Inc.; Philippines; On-site; PHP 335,000 - 502,000; Full time

Job summary

WeSupport, Inc. is seeking a USRN QA Specialist to conduct quality audits for Utilization Review/Utilization Management processes. You will review cases, ensure compliance with guidelines, identify gaps, and provide actionable feedback to drive process improvements.

The role offers a work-from-home setup with shifting schedules, ASAP start date, and collaboration with operations and clinical teams to maintain high quality standards.

Qualifications

• Active USRN license – any state.
• At least 1 year of bedside nursing experience.
• 1–2 years of Utilization Review/Utilization Management experience.
• Willing to work on shifting schedules, including weekends, nights, and holidays.
• Experience in healthcare quality assurance or auditing.
• Strong analytical and communication skills.

Responsibilities

• Conduct quality audits for Utilization Review/Utilization Management processes.
• Review cases for compliance with established guidelines.
• Identify quality gaps and provide actionable feedback.
• Support process improvement initiatives.
• Collaborate with operations and clinical teams to maintain quality standards.
• Prepare quality reports and communicate findings to stakeholders.

Skills

USRN license

Bedside nursing experience

Utilization Review/Management

Quality auditing

Analytical skills

Communication skills

Shifting schedule readiness

Job description

WeSupport, Inc. is seeking a USRN QA Specialist to conduct quality audits for Utilization Review/Utilization Management processes. You will review cases, ensure compliance with guidelines, identify gaps, and provide actionable feedback to drive process improvements.

The role offers a work-from-home setup with shifting schedules, ASAP start date, and collaboration with operations and clinical teams to maintain high quality standards.