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MyGlit Jobs |  Jobs |   Quality Assurance Analyst - US Reristered Nurse | Healthcare in Mumbai & Delhi

Quality Assurance Analyst - US Reristered Nurse | Healthcare

Gratitude Inc
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1 day ago

Quality Assurance Analyst - US Reristered Nurse | Healthcare

2-5 Year(s)
100 - 120 Thousand p.m
Manila (Makati, Pasig, Cubao Quezon City)
Manila (Makati, Pasig, Cubao Quezon City)

Job Description

Key Skills

USRN PH - Registered Nurse US Registered Nurse bpo USRN License QA SKILLS * Above average communication skills Proficiency in MS Office reviewing medical data or documentation Medical Account for clerical or administrative support;

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

USRN Quality Assurance Analyst – Healthcare


TP Alphaland | Night Shift | ₱80,000 – ₱120,000 | Headcount: 2

We are hiring experienced USRN Quality Assurance Analysts to drive clinical excellence and ensure compliance across U.S. healthcare operations. This role is ideal for detail-oriented nurses passionate about quality, accuracy, and continuous improvement in a high-impact environment.


Key Responsibilities:
  • Perform audits on Utilization Management, Case Management, triage calls, and medical necessity reviews
  • Ensure adherence to U.S. healthcare standards (MCG/InterQual, CMS, HIPAA)
  • Evaluate clinical documentation, coding accuracy (ICD-10/CPT), and care appropriateness
  • Deliver actionable feedback and support coaching for clinical teams
  • Analyze quality trends, prepare reports, and support performance improvement initiatives
  • Participate in calibration sessions and assist with internal/external audits

Qualifications:

  • Active PH RN license and current, unrestricted USRN license
  • 2+ years bedside experience (ER, ICU, Med-Surg preferred)
  • 1+ year U.S. healthcare/BPO experience (UM, CM, Appeals, Triage)
  • QA, clinical auditing, or reviewer experience required
  • Strong knowledge of MCG, InterQual, HIPAA, and U.S. healthcare practices
  • Excellent analytical, communication, and documentation skills
  • Proficiency in MS Office and QA tools

Role

Nurse

Timings

Day Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Medical Professional / Healthcare Practitioner / Technician

Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.

MyGlit Jobs |  Jobs |   Quality Assurance Analyst - US Reristered Nurse | Healthcare in Mumbai & Delhi

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