(ACTIVE) US Registered Nurse (South Carolina Account) Hybrid/TWFH | W/ SOB

US Registered Nurse

Account: South Carolina
Location: Taguig / Cebu, Philippines
Work Setup: Onsite Training; Hybrid/Work From Home after training
Shift: Shifting
Start Date: October 2026

Job Summary:
We are looking for experienced US Registered Nurses (USRN) to support the South Carolina account. The role involves applying clinical nursing expertise across nurse auditing, utilization review, bill review, and clinical case management processes.

Key Responsibilities:

• Perform nurse auditing, utilization review, and medical bill review.

• Review clinical cases and assess medical documentation for accuracy and appropriateness.

• Apply clinical knowledge to complex medical, legal, and consult review cases.

• Evaluate medical records and supporting documentation according to established guidelines.

• Ensure accurate and timely completion of assigned reviews.

• Collaborate with internal teams and stakeholders to resolve clinical or documentation-related concerns.

• Maintain compliance with applicable clinical and operational standards.

Qualifications:

• Active USRN license from any mainland US state.

• At least 2 years of recent surgical experience in a hospital setting, OR 2+ years of clinical case management experience with additional complex medical, legal, and consult review exposure.

• At least 2 years of experience in the daily application of:

  • Nurse Auditing

  • Utilization Review

  • Medical Bill Review

• Strong clinical assessment, documentation review, and analytical skills.

• Willing to work on shifting schedules.

• Willing to work onsite during training and transition to hybrid/WFH after training.

• Willing to work in Taguig or Cebu.

Recruitment Process:

1. Validation

2. Talkpush Profile Creation

3. HR Interview

4. Hiring Manager Interview

5. Onboarding

Screening Requirements:
Candidates will be asked to provide:

• Current location and preferred work site.

• Active USRN license and validity date.

• Years of surgical experience in a hospital setting.

• Years of clinical case management experience, including complex medical, legal, and consult review.

• Years of experience in nurse auditing, utilization review, and bill review.

• Last drawn salary.

• Expected salary.

• Availability to start in October 2026.