A leading healthcare recruitment firm is seeking an experienced US Registered Nurse (USRN) with a Utilization Management background to support US healthcare operations. Applicants must hold active PHRN and USRN licenses and demonstrate strong communication skills. Responsibilities include conducting UM reviews and ensuring compliance with US clinical guidelines. This role offers a salary package of up to PHP 72,000 and a joining bonus of PHP 100,000. Candidates must be willing to work onsite in Taguig.
Qualifications
Minimum 6 months experience in Utilization Management.
Willing to work onsite in Taguig city (Dayshift).
Experience with US healthcare regulations is preferred.
Responsibilities
Conduct Utilization Management reviews for US healthcare cases.
Evaluate clinical documentation for medical necessity and level of care.
Ensure compliance with US healthcare regulations and guidelines.
Skills
Utilization Management (UM)
Strong English communication skills
Education
Active PHRN license
Active USRN license
Job description
A leading healthcare recruitment firm is seeking an experienced US Registered Nurse (USRN) with a Utilization Management background to support US healthcare operations. Applicants must hold active PHRN and USRN licenses and demonstrate strong communication skills. Responsibilities include conducting UM reviews and ensuring compliance with US clinical guidelines. This role offers a salary package of up to PHP 72,000 and a joining bonus of PHP 100,000. Candidates must be willing to work onsite in Taguig.