USRN QA Specialist (Non-Voice) | Utilization Management | Hybrid

USRN QA Specialist (Non-Voice) | Utilization Management | Hybrid

Job Title: USRN QA Specialist – Non-Voice

Account: El Paso & Hartford

Work Setup: Hybrid / Temporary Work-from-Home (TWFH)

Work Schedule: Shifting Schedule

Location: Taguig | Cebu | Davao | Clark, Pampanga

Start Date: ASAP

Headcount: 1

About the Role

We are looking for an experienced and detail-oriented USRN QA Specialist to support a Non-Voice Healthcare Account. The ideal candidate will have a strong background in Utilization Review (UR), Utilization Management (UM), healthcare quality assurance, and clinical operations.

This role is ideal for an active US Registered Nurse (USRN) with experience reviewing healthcare cases and ensuring quality, accuracy, compliance, and adherence to established processes.

Key Qualifications

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• Must hold an active and valid USRN license.
  
• At least 1 year of bedside nursing experience.
  
• At least 1–2 years of BPO or CPO experience in:
  
  
  • Utilization Review (UR)
    
  • Utilization Management (UM)
    
  • Healthcare Case Review
    
  • Clinical Review
  
  
• At least 1 year of Quality Assurance (QA) experience.
  
• Strong knowledge of healthcare processes, clinical documentation, and quality standards.
  
• Excellent analytical skills and strong attention to detail.
  
• Strong written and verbal communication skills.
  
• Comfortable working in a non-voice healthcare environment.
  
• Willing to work on a shifting schedule.
  
• Open to working under a Hybrid or Temporary Work-from-Home (TWFH) arrangement, depending on business requirements.
  
• Must be available to work from one of the following sites:
  
  
  • Taguig
    
  • Cebu
    
  • Davao
    
  • Clark, Pampanga
  
  

Preferred Candidate Profile

Candidates with experience in the following areas are highly encouraged to apply:

USRN Quality Assurance | Healthcare QA | Utilization Review | Utilization Management | Clinical Review | Medical Review | Healthcare BPO | Healthcare CPO | Non-Voice Healthcare | Clinical Quality Analyst | Nurse Quality Analyst

Recruitment Process

1. Validation
   
2. Talkpush Profile Creation
   
3. HR Interview
   
4. Hiring Manager Interview
   
5. Onboarding
   

Important Screening Information

Please provide the following information during the initial screening:

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• Current location and preferred work site (BGC, Cebu, Davao, or Clark)
  
• Do you have an active USRN license? Please provide the license validity or expiration date.
  
• Total years of bedside nursing experience
  
• Total years of Utilization Review (UR) or Utilization Management (UM) experience
  
• Total years of Quality Assurance (QA) experience
  
• Most recent or last drawn salary
  
• Salary expectations
  
• Notice period or earliest available start date
  

Why Apply?

This is an excellent opportunity for an experienced USRN with Healthcare QA and Utilization Management experience to advance their career in a specialized non-voice clinical operations role.

Apply now if you meet the qualifications and are ready to start ASAP.