USRN QA Specialist - Healthcare Quality & Compliance

Hammerjack Pty Ltd; Philippines; Hybrid; PHP 569,000 - 770,000; Full time

Job summary

Level Up Talent Solutions is seeking a Lean-Pro USRN QA Specialist to support quality monitoring for non-voice healthcare operations accounts, reviewing clinical outputs and ensuring adherence to Utilization Review/Management standards.

The ideal candidate holds an active USRN license, bedside experience, and 1–2 years in Utilization Review/Management, with strong clinical judgment and precise documentation.

Qualifications

• Active USRN license from any U.S. state.
• At least 1 year of bedside or relevant clinical experience.
• 1–2 years of BPO/CPO Utilization Review or Utilization Management experience.
• Strong clinical judgment and attention to detail.
• Able to evaluate healthcare process outputs objectively and consistently.
• Strong documentation, reporting, and analytical skills.
• Comfortable working in a non-voice healthcare operations environment.

Responsibilities

• Review completed cases, transactions, or clinical process outputs for quality and accuracy.
• Check adherence to Utilization Review, Utilization Management, documentation, and account standards.
• Identify errors, missed steps, quality gaps, and process improvement opportunities.
• Prepare QA findings, reports, and recommendations for operations and leadership teams.
• Support calibration sessions to ensure consistency in quality standards.
• Escalate recurring issues, compliance concerns, or process deviations when needed.
• Maintain accurate QA documentation, audit records, and quality reports.

Skills

Active USRN license

Clinical bedside experience

Utilization Review/Management

Clinical judgment

Documentation & analytics

Job description

Level Up Talent Solutions is seeking a Lean-Pro USRN QA Specialist to support quality monitoring for non-voice healthcare operations accounts, reviewing clinical outputs and ensuring adherence to Utilization Review/Management standards.

The ideal candidate holds an active USRN license, bedside experience, and 1–2 years in Utilization Review/Management, with strong clinical judgment and precise documentation.