Philippine Registered Nurse
Job Summary
We are looking for a Philippine Registered Nurse (PHRN) to join our healthcare operations team. The ideal candidate is an active PRC-licensed Registered Nurse with BPO experience and strong clinical knowledge. This role supports US healthcare operations through various clinical support functions while ensuring compliance with regulatory standards.
Responsibilities
- Review and analyze medical records and clinical documentation
- Support healthcare operations including utilization review and case management
- Ensure accuracy, quality, and compliance with guidelines and HIPAA
- Meet productivity, quality, and attendance metrics
Required Skills
- Active Philippine Registered Nurse (PRC) license
- 1–2 years of BPO healthcare experience
- Strong clinical assessment and documentation skills
- Excellent English communication skills
Job Details
Job Title: Philippine Registered Nurse (PHRN)
Key Responsibilities:
- Review and analyze medical records, clinical documentation, and healthcare-related cases.
- Apply clinical knowledge to support healthcare operations, including utilization review, appeals and denials, case management, or medical coding support, depending on business needs.
- Ensure accuracy, quality, and compliance with client guidelines, HIPAA, and company policies.
- Communicate professionally with internal teams, healthcare providers, and other stakeholders as required.
- Maintain accurate documentation and complete assigned tasks within service level agreements (SLAs).
- Stay updated on healthcare regulations, clinical guidelines, and process changes.
- Meet productivity, quality, and attendance metrics.
Qualifications:
- Active Philippine Registered Nurse (PRC) license is required.
- At least 1–2 years of BPO healthcare experience.
- Clinical experience is an advantage but not required.
- Strong clinical assessment, analytical, and documentation skills.
- Excellent English communication skills, both written and verbal.
- Proficient in Microsoft Office and healthcare systems.
- Willing to work onsite on a permanent night shift schedule.
- Amenable to work in a fast-paced healthcare operations environment.