(ACTIVE) USRN QA Specialist_Hybrid/TWFH |
Gratitude Inc
USRN QA Specialist (Non-Voice)
Job Overview
We are looking for an experienced USRN QA Specialist to join our healthcare operations team. The ideal candidate should have strong clinical/bedside experience, hands-on experience in Utilization Review (UR) / Utilization Management (UM) , and at least 1 year of Quality Assurance experience in a BPO/CPO healthcare environment.
Key Responsibilities
Perform quality audits and reviews of healthcare-related processes and documentation.
Monitor and evaluate the quality and accuracy of Utilization Review/Utilization Management activities.
Identify process gaps, errors, and compliance issues and provide appropriate feedback.
Ensure adherence to client-specific quality standards, policies, and procedures.
Conduct regular quality checks and maintain accurate audit records.
Provide feedback and coaching to team members based on audit findings.
Support continuous improvement initiatives and help improve process quality.
Maintain confidentiality and comply with healthcare and client requirements.
Coordinate with operations and other stakeholders to resolve quality-related concerns.
Prepare and maintain QA reports, scorecards, and performance metrics.
Qualifications
Active USRN License with valid license status.
At least 1 year of bedside nursing experience .
1–2 years of BPO/CPO experience in Utilization Review (UR) / Utilization Management (UM).
At least 1 year of QA/Quality Assurance experience .
Strong knowledge of healthcare processes, documentation, and quality standards.
Good analytical, communication, and problem-solving skills.
Willing to work in a shifting schedule .
Willing to work in a Hybrid/Temporary Work From Home setup .
Must be willing to work from the available sites in the Philippines.
Job Details
Account: El Paso & Hartford Account
Work Setup: Hybrid / TWFH
Work Schedule: Shifting
Location: BGC Taguig, Cebu, Davao, or Clark, Pampanga
Start Date: ASAP
Recruitment Process
Validation
Talkpush Profile Creation
HR Interview
Hiring Manager Interview
Onboarding
Screening Questions
What is your current location and preferred work site?
Do you have an active USRN license? Please provide the license validity date.
How many years of bedside nursing experience do you have?
How many years of Utilization Review/Utilization Management experience do you have?
How many years of QA experience do you have?
What is your last drawn salary?
What are your salary expectations?
What is your notice period?
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