(ACTIVE) US Registered Nurse_ Collective UM/CPO/Bedside exp | TWFH W/ SOB

Gratitude Inc

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2 hours ago

(ACTIVE) US Registered Nurse_ Collective UM/CPO/Bedside exp | TWFH W/ SOB

1-3 Year(s)

Cebu Central Visayas, Davao, Pampanga
(Base Location for WFH)

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Job Description

Key Skills

Nursing USRN Case Management Utilization Management Medical Claims processing Patient Care bedside nursing experience Experience in Healthcare BPO industry and knowledge of healthcare vertical Supervisory in clinical operations Clinical documents

1 candidate(s) have already applied for this Job. Apply now

US Registered Nurse (Non-Voice)

Job Type: Permanent
Work Setup: Temporary Work From Home (WFH)
Work Schedule: Shifting
Location: Philippines – BGC Taguig, Cebu, Davao, and Clark, Pampanga
Start Date: October 2026

Job Summary

We are looking for experienced US Registered Nurses (USRN) to join our non-voice healthcare operations team. The ideal candidate must have hands-on experience across Utilization Management (UM), Clinical Processing Outsourcing (CPO), and bedside nursing, along with an active US mainland nursing license.

Key Responsibilities

Handle non-voice healthcare and clinical processing activities.
Perform Utilization Management-related clinical reviews and assessments.
Review and process clinical information according to established guidelines.
Apply clinical knowledge and nursing experience to support healthcare operations.
Ensure accuracy, quality, and compliance in all assigned processes.
Maintain proper documentation and meet productivity and quality targets.

Qualifications

Must be an Active US Registered Nurse (USRN) with any valid mainland US nursing license.
Must have at least 1 year of collective experience in:
- Utilization Management (UM)
- Clinical Processing Outsourcing (CPO)
- Bedside Nursing
Must have experience in all three areas (UM, CPO, and bedside) within the past 3 years.
Strong clinical knowledge and communication skills.
Willing to work on a shifting schedule.
Willing to work temporarily from home.
Willing to work from any of the available Philippine sites.

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 Utilization Management experience do you have?
How many years of Clinical Processing Outsourcing (CPO) experience do you have?
How many years of bedside nursing experience do you have?
What is your last drawn salary?
What are your salary expectations?
Can you start in October 2026 once hired?

Role

Nurse

Timings

Rotational Shifts (Permanent)

Industry

Medical / Healthcare / Hospital

Work Mode

Work from Home

Process

Non-Voice

Functional Area

Medical Professional / Healthcare Practitioner / Technician

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