USRN Utilization Management Nurse

Bravissimo Resourcing Inc.; Taguig; On-site; PHP 670,000 - 1,004,000; Full time

Benefits offered by this job

Employee Recognition and Rewards

Performance Bonus

HMO

Job summary

Bravissimo Resourcing Inc. is seeking a US Registered Nurse (USRN) with utilization management experience to evaluate healthcare services, ensure medical necessity, and optimize patient outcomes. Location is Taguig, Philippines, with an on-site work setup.

1-3 years of RN experience preferred, and an active US RN license is required for direct patient care. The role emphasizes collaboration with clinicians, adherence to US regulatory standards, and strong patient-care focus in both inpatient and

Qualifications

• 3 months clinical RN experience (480 hours).
• Active RN license with direct patient care.
• Clinical settings: inpatient hospital, outpatient hospital, or community clinic.
• Current and unrestricted US Registered Nurse license required (no state license required).

Responsibilities

• Conduct utilization reviews (prospective, concurrent, or retrospective) using clinical guidelines to assess medical necessity and appropriateness of care.
• Collaborate with healthcare providers and interdisciplinary teams to facilitate efficient patient care transitions.
• Ensure strict adherence to US healthcare regulatory standards and client operational protocols.

Skills

Active RN license

RN experience (3 months)

Job description

On-site - Taguig 1-3 Yrs Exp Bachelor Full-time

Job Description

Employee Recognition and Rewards

Performance Bonus

Government Mandated Benefits

13th Month Pay, Pag-Ibig Fund, Paid Holidays

Insurance Health & Wellness

HMO

Role Overview

We are seeking an active US Registered Nurse (USRN) with prior Utilization Management experience to evaluate healthcare services, ensure patient care meets medical necessity guidelines, and optimize clinical outcomes.

Key Responsibilities

• Conduct utilization reviews (prospective, concurrent, or retrospective) using clinical guidelines to assess medical necessity and appropriateness of care.
• Collaborate with healthcare providers and interdisciplinary teams to facilitate efficient patient care transitions.
• Ensure strict adherence to US healthcare regulatory standards and client operational protocols.

Qualifications:

• At least 3 months clinical experience (480 hours) as an RN
• Active RN license with direct patient care experience
• Clinical setting: inpatient hospital, outpatient hospital, or community clinic
• Current and unrestricted US Registered Nurse license required (no state license required)

Location: Taguig

Work setup: Onsite

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