Job Description

USRN - Back Office | 100k Signing bonus
Temporary Work from Home
Equipment provided
Fixed Weekends Off
To start ASAP!
Fast Process! 2 interviews only!Qualifications:

• Must be an NCLEX Passer with an active US Mainland Board of Nursing License;

• Requires current active unrestricted USRN license to practice as a health professional within the scope of practice in applicable state(s) or territory of the United States.
• Requires an active PHRN License.

• Requires at least 1-year cumulative clinical experience in a hospital / clinical setting. Other clinical lines of work (private duty, company/school, ambulance/emergency, etc.) may be considered.

• Preferrable with at least 6 months of previous experience in a BPO / healthcare information management account experience in Utilization Management is preferred. Background in a Prior Authorization account is also an advantage for this position.

• Requires strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
• Good to excellent communication skills.

Perks and Benefits:

• Signing bonus of 100K once hired.

• Quarterly Incentive Program*, computed as % from annual gross compensation.

• Premium HMO Coverage, covering employee + up to 2 dependents on Day 1 of employment.

• Vacation and sick leaves with annual conversion*.

• Weekends off, fixed night shift schedule for most business lines.

• Retirement package eligibility depends on the tenure of employment.

*Terms and conditions applyResponsibilities:

• Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts;

• Ensures member access to medically necessary, quality healthcare in a cost-effective setting according to contract;

• Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality cost-effective care throughout the medical management process;

• Collaborates with providers to assess members' needs for early identification of and proactive planning for discharge planning;

• Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications; and

• Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.

Job Types: Full-time, PermanentSalary: Php50,000.00 - Php75,000.00 per monthBenefits:

• Company Christmas gift
• Company events
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Promotion to permanent employee
• Transportation service provided
• Work from home

Schedule:

• 8 hour shift
• Evening shift
• Holidays
• Late shift
• Monday to Friday
• Night shift
• Overtime

Supplemental Pay:

• 13th month salary
• Bonus pay
• Overtime pay
• Performance bonus

COVID-19 considerations:
YesApplication Question(s):

• Full Name ( First, Middle, Last)
• Contact Number(s)
• Email
• Location
• BPO Experience (Years/Months)
• Clinical Experience (Years/Months)
• Internet Speed(Mbps) & Provider