Job Title: US Registered Nurse (USRN)

Location: Taguig City

Work Setup: Onsite

Schedule: Dayshift

Salary Package: Up to PHP 72,000

Joining Bonus: PHP 100,000

We are hiring an experienced USRN with Utilization Management (UM) background to support US healthcare operations. This role requires active PHRN and USRN licenses, strong communication skills, and willingness to work onsite in Taguig. Ideal candidates can perform medical necessity reviews while ensuring compliance with US clinical guidelines.

Key Responsibilities

• Conduct Utilization Management (UM) reviews for US healthcare cases
• Evaluate clinical documentation for medical necessity and level of care
• Ensure compliance with US healthcare regulations and guidelines
• Communicate authorization decisions clearly and professionally
• Maintain accurate clinical documentation and case records ...