USRN: Utilization Management Nurse — Night Shift Onsite

J-K Network Services; Taguig; On-site; PHP 609,336 - 729,864; Full time

Benefits offered by this job

Government-mandated benefits

HMO

13th Month Pay

Sick Leave Credits

Vacation Leave Credits

Job summary

A global IT-BPO company in Taguig is seeking a US Registered Nurse, offering a salary of up to Php60,000 and above. Responsibilities include reviewing clinical cases, conducting utilization reviews, and coordinating with healthcare providers. Candidates must hold an active US RN license, with at least 5-8 years of clinical experience. The role requires onsite work during the night shift, and the company provides numerous benefits including government-mandated benefits and HMO.

Qualifications

• Must have passed the US Nursing Licensure Exam.
• Active and unrestricted US RN license is required.
• Minimum of 5-8 years of clinical experience.

Responsibilities

• Review clinical cases for medical necessity and benefit eligibility.
• Conduct utilization reviews.
• Apply clinical guidelines and escalate cases when necessary.
• Coordinate with healthcare providers and internal teams.
• Ensure accurate documentation and compliance.

Skills

Clinical assessment

Utilization review

Documentation

Coordination

Education

Bachelor’s degree in Nursing

Job description

A global IT-BPO company in Taguig is seeking a US Registered Nurse, offering a salary of up to Php60,000 and above. Responsibilities include reviewing clinical cases, conducting utilization reviews, and coordinating with healthcare providers. Candidates must hold an active US RN license, with at least 5-8 years of clinical experience. The role requires onsite work during the night shift, and the company provides numerous benefits including government-mandated benefits and HMO.