USRN Senior Manager
Full-time
Gratitude Inc
Job Title: Health Clinical Services Senior Manager – USRN
Work Setup: Onsite
Location: Uptown Bonifacio, Taguig
Work Schedule: Night Shift | Weekends Off
Job Summary:
We are seeking an experienced US Registered Nurse (USRN) to lead clinical review operations and manage high-performing healthcare teams. This role oversees utilization management, medical necessity reviews, and claims analysis while ensuring compliance with US healthcare standards and policies.
Key Responsibilities:
- Lead and oversee clinical teams performing utilization and medical necessity reviews
- Review pre-service, concurrent, retrospective, and out-of-network cases
- Ensure compliance with medical policies, benefits, and member eligibility
- Oversee post-service and pended claims review
- Coordinate with healthcare providers to obtain required clinical information
- Maintain quality, accuracy, and regulatory compliance across all reviews
Qualifications & Requirements:
- Active and unrestricted USRN license (any US state)
- Minimum 12 years of clinical experience
- At least 10 years of supervisory or leadership experience
- Open to both BPO and non-BPO backgrounds
- Must have the right to live and work in the Philippines
- No active or recent application with the same employer
- Stable employment history (no frequent job changes)
Additional Notes:
- Onsite role based in Taguig
- Night shift schedule with weekends off
- Salary details to be discussed during the selection process
Vacancy posted 21 days ago
Similar jobs that could be interesting for youBased on the USRN Senior Manager in Taguig vacancy
- ...JOB TITLE: Health Clinical Services Senior Manager - USRN WORK SET UP: Onsite in Taguig WORK SHIFT: Night shift Rest Day: Weekends Location: Taguig Uptown Bonifacio Tower 3 Salary: Depends on Experience Ready to join Accenture’s team of empowered people...
- ...We’re hiring a USRN – Utilization Management Nurse! Location: Taguig (Onsite) Schedule: Day Shift Salary: Up to PHP 70,000 Joining Bonus: PHP 100,000 Start Date: ASAP Job Description We are looking for a US Registered Nurse (USRN) with...
- This company started its operation in 2009. They support the clients globally across North America, Europe, Middle East and Asia. They also offer technology, back office, data engineering, and cloud solutions. Position: US Registered Nurse (Earn up to Php60,000 and ...
- ...Job title: USRN Nurse Trainer Work set up: Onsite in BGC Taguig during training, WFH/Hybrid after training Work shift: Night shift... ...nursing education practice. Consult with other trainers, managers, and leadership to improve claim outcomes through education Utilize...
- ...Job title: PH USRN Authorization Nurse Work set up: Onsite in BGC Taguig Work shift: Night shift Budget: 40K - 60K package... ...the Philippines Minimum 4 years of experience in utilization management, prior authorization Familiarity with U.S. healthcare and...
- ...Job Title: QA Lead | USRN Account: QA Salary: Open Salary Work location/Set up: TP Alphaland / TP McKinley Onsite Shift Schedule... ...to detail and accuracy •Strong com skills •Ability to manage priorities • QA experience of at least 1-2 years in BPO (Required...
- ...Salary: 100,000 PHP - 120,000 PHP + 150k SOB (fixed weekends off) Qualifications: ~ Active PHRN + USRN License ~2 years Bedside experience ~1 to 2 years of hospital coding experience ~ at least 1 of the following: CDIP (AHIMA) | CPC | CCS (AHIMA) - IP/OP...
- ...NOW HIRING: USRN TRAINING SPECIALIST (NON-VOICE!) Pass your knowledge. Shape future healthcare professionals! Location: Taguig / Cebu Work Setup: Onsite Account Type: Non-Voice SALARY PACKAGE: • Up to ₱60,000 Package QUALIFICATIONS: Active USRN...
- ...hiring exceptional talent with a track record of excellence to join us in shaping the next chapter. We are looking for a Senior Facilities Manager who will be First Circle's owner of the physical workplace, end to end. You will oversee First Circle’s full office fit-...
- ...Job Title: US Registered Nurse (USRN) Location: Taguig City Work Setup: Onsite Schedule: Dayshift Salary Package: Up to... ...Summary We are hiring an experienced USRN with Utilization Management (UM) background to support US healthcare operations. This role...
- ...S&C GN SAP Platform – Cross-Functional SME – Manager, Senior Manager Areas of Work: SAP S/4HANA Transformation JOB TITLE: Platforms Consulting Senior Manager - Subject Matter Expert Years of Experience: 10+ years WORK SET UP: Onsite in Taguig (Official set-...
- ...Shifting Schedule I Willing to report onsite at Makati or Taguig REQUIREMENTS: • Active and unrestricted U.S. Registered Nurse (USRN) license. • Minimum of 2–3 years clinical bedside experience (e.g., ER, ICU, Med-Surg, Telemetry). • Minimum of 1 year...
- ...Job Role: USRN Training Specialist Work Set-up: Hybrid 70k Sign on Bonus We’re hiring a "Training Specialist" to lead and develop teams in the US Healthcare space. If you enjoy coaching, mentoring, and knowledge sharing, this role is for you. Requirements...
- ...USRN – New Jersey Account Salary : ₱55,000 +100k Sign on Bonus Setup : Temporary WFH Job Description: Step into a high-impact... ...(New Jersey state only) • With 2 years experience in any of the following: Acute Direct-Care, UM/Managed Care/Medical Management...
- ...served over 18 million customers as of 2025 while achieving solid profitability for sustainable growth. This role The Senior Accounting Manager is responsible to ensure the accurate and timely financial reporting and compliance of PayJoy's operations in an entity,...
- ...Job title: USRN – Nurse Triage Work set up: On-site in BGC Taguig Work shift: US Time Zone; Must be open to Night Shift Salary... ...• Minimum 2 years of clinical experience in triage, case management, or behavioral health • Strong verbal communication and documentation...
775000 $ per day
...WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Analytics Senior Manager WORK SETUP: Hybrid RESPONSIBILITIES: • Design and implement advanced analytics solutions using statistical modeling, machine learning...- ...Responsible for developing talent, improving performance, and ensuring clinical and process excellence. Requirements: Active PHRN / USRN license At least 1 year of teaching experience; academe background is welcome Must have at least 1 year CPO experience,...
775000 $ per day
...ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Mobilization Senior Manager WORK SETUP: Hybrid OVERALL PURPOSE: As a Mobilization Senior Manager, you will take a leadership role in designing, managing...- ...Clinical setting includes inpatient hospital, outpatient hospital or community clinic ~ No state license required ~ For CL 10 role USRN + UM, minimum 6 months of UM experience. ~ Work experience such as TL, QA, Trainer and Claims are preferred and good to have...
- ...Job Summary: Owns the overall Talent management function, including strategy, revenue targets, team direction, influencer/talent network growth, and performance standards. Leads the department to deliver measurable business results through influencer campaigns, talent...
- ...We are seeking an experienced ServiceNow Delivery Senior Manager to lead project delivery, support pre-sales activities, and manage the growth of the ServiceNow practice. This role is key in driving the successful implementation of ServiceNow solutions, supporting business...
- ...to power generation and energy infrastructure. The company also manages and maintains the physical facilities required for energy... ...raw fuel and its movement to where it's needed. POSITION: Senior HR Manager INDUSTRY: Renewable Energy company WORK LOCATION...
- ...Job Expectations: Position Type: Experienced - Senior Manager Employment Type: Full-Time, Permanent (Direct Hire) Work Setup & Location: Hybrid (2-4x onsite per week) - BGC, Taguig Work Schedule: Weekdays; Mid Shift Industry: Global Accounting Firm...Remote job
- ...Senior Marketing Manager Digital-first | Full-time Job Title Senior Marketing Manager Department Marketing Reports To Marketing Lead Direct Reports Marketing Manager, Marketing Executive(s), agency and freelance partners...
- ...Europe, Middle East and Asia. They also offer technology, back office, data engineering, and cloud solutions. Position: Senior Procurement Manager (Sourcing) Company Industry: IT Company Work Location: BGC Taguig Work Schedule: Shifting Schedule Salary:...
- .... In this role, you’ll handle budgeting, forecasting, and cost management, while providing clear and practical financial information to support... ...the company. You’ll collaborate with department heads and senior management to help the business operate efficiently and make...
- ...This company is a start up digital entertainment focusing on localized digital entertainment. Position: Senior Brand Marketing Manager Industry: IGaming Company Salary: Open for negotiation Location: BGC Taguig Work Schedule: Monday to Saturday Work...
- ...We are hiring experienced IT Audit professionals for Manager and Senior Manager roles to support global audit engagements. This role focuses on IT controls assurance, SOX compliance, and client-facing audit delivery. Key Requirements: At least 6+ years of relevant...
- ...Technology Corp., we are currently looking for an exceptional Senior Business Development Officer to join our dynamic team. We believe... ..., lifestyle brands, and corporate deals. Work closely with management and team to develop and manage measurable marketing programs...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to USRN Senior Manager. Be the first to apply!
