USRN QA Specialist (Non-Voice) | Utilization Management | Hybrid

Gratitude Philippines; Manila; Hybrid; PHP 502,000 - 725,000; Full time

Job summary

Gratitude Philippines is seeking an experienced USRN QA Specialist for a Non-Voice Healthcare Account in a Hybrid setup. The role emphasizes Utilization Review and Utilization Management with strong QA and clinical operations focus.

Applicants should have an active USRN license, bedside nursing experience, and 1–2 years in UR/UM, QA, and healthcare reviews. Hybrid/TWFH options apply, with sites in Taguig, Cebu, Davao, and Clark.

Qualifications

• Must hold an active and valid USRN license.
• At least 1 year of bedside nursing experience.
• At least 1–2 years of UR/UM experience in UR/UM, healthcare case review or clinical review.
• At least 1 year of QA experience.
• Strong knowledge of healthcare processes, clinical documentation, and quality standards.
• Excellent analytical and communication skills; detail-oriented.

Responsibilities

• Support a non-voice healthcare account with QA oversight.
• Review healthcare cases to ensure quality, accuracy, compliance with processes.
• Collaborate with UR/UM teams to maintain standards and improve outcomes.

Skills

Active USRN license

Bedside nursing

UR/UM experience

Healthcare QA

QA experience

Analytical skills

Attention to detail

Communication skills

Non-voice environment

Shifting schedule

Hybrid/TWFH readiness

Job description

USRN QA Specialist (Non-Voice) | Utilization Management | Hybrid

Job Title: USRN QA Specialist – Non-Voice

Account: El Paso & Hartford

Work Setup: Hybrid / Temporary Work-from-Home (TWFH)

Work Schedule: Shifting Schedule

Location:Taguig | Cebu | Davao | Clark, Pampanga

Start Date: ASAP

Headcount: 1

About the Role

We are looking for an experienced and detail-oriented USRN QA Specialist to support a Non-Voice Healthcare Account. The ideal candidate will have a strong background in Utilization Review (UR), Utilization Management (UM), healthcare quality assurance, and clinical operations.

This role is ideal for an active US Registered Nurse (USRN) with experience reviewing healthcare cases and ensuring quality, accuracy, compliance, and adherence to established processes.

Key Qualifications

• Must hold an active and valid USRN license.
  
• At least 1 year of bedside nursing experience.
  
• At least 1–2 years of BPO or CPO experience in:
  • Utilization Review (UR)
    
  • Utilization Management (UM)
    
  • Healthcare Case Review
    
  • Clinical Review
• At least 1 year of Quality Assurance (QA) experience.
  
• Strong knowledge of healthcare processes, clinical documentation, and quality standards.
  
• Excellent analytical skills and strong attention to detail.
  
• Strong written and verbal communication skills.
  
• Comfortable working in a non-voice healthcare environment.
  
• Willing to work on a shifting schedule.
  
• Open to working under a Hybrid or Temporary Work-from-Home (TWFH) arrangement, depending on business requirements.
  
• Must be available to work from one of the following sites:
  • Taguig
    
  • Cebu
    
  • Davao
    
  • Clark, Pampanga

Preferred Candidate Profile

USRN Quality Assurance | Healthcare QA | Utilization Review | Utilization Management | Clinical Review | Medical Review | Healthcare BPO | Healthcare CPO | Non-Voice Healthcare | Clinical Quality Analyst | Nurse Quality Analyst

Recruitment Process

1. Validation
2. Talkpush Profile Creation
3. HR Interview
4. Hiring Manager Interview
5. Onboarding

Important Screening Information

Please provide the following information during the initial screening:

• Current location and preferred work site (BGC, Cebu, Davao, or Clark)
  
• Do you have an active USRN license? Please provide the license validity or expiration date.
  
• Total years of bedside nursing experience
  
• Total years of Utilization Review (UR) or Utilization Management (UM) experience
  
• Total years of Quality Assurance (QA) experience
  
• Most recent or last drawn salary
  
• Salary expectations
  
• Notice period or earliest available start date

Why Apply?

This is an excellent opportunity for an experienced USRN with Healthcare QA and Utilization Management experience to advance their career in a specialized non-voice clinical operations role.