US Registered Nurse – South Carolina Account
Job Description
WORK SETUP: Onsite Training; Hybrid/TWFH after
WORK SCHEDULE: Shifting
SALARY: ₱55,000 package (Fixed and non-negotiable)
SIGN-ON BONUS: ₱100,000
LOCATIONS: Taguig and Cebu
START DATE: October 2026
Role Overview
We are seeking an active US Registered Nurse (USRN) to join our South Carolina Account team. This role involves clinical case management, utilization review, nurse auditing, and bill review. You will leverage your clinical expertise to assess cases, ensure compliance with guidelines, and support timely resolution.
Key Responsibilities
Perform clinical case management and utilization review
Conduct nurse auditing and bill review
Assess complex medical, legal, and consult review cases
Ensure compliance with regulatory and client guidelines
Collaborate with internal teams to resolve complex cases
Document findings and determinations accurately
Meet quality, productivity, and turnaround time targets
Qualifications
Active USRN (any mainland license) – required
At least 2 years of recent surgical experience in a hospital setting – required
OR 2+ years of clinical case management with additional complex medical, legal, and consult review preferred
At least 2 years of experience in daily application of nurse auditing, utilization review, and bill review – required
Why Join?
Competitive salary: ₱55,000 package (Fixed and non-negotiable)
₱100,000 Sign-On Bonus
Hybrid/TWFH after onsite training
Multiple locations: Taguig and Cebu
Career growth in healthcare utilization management
Key Skills
3 SkillsRole Specifications
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