USRN QA Specialist_Hybrid/TWFH | Non-Voice

Gratitude Inc

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1 day ago

USRN QA Specialist_Hybrid/TWFH | Non-Voice

1-6 Year(s)

₱ 55 - ₱ 60K p.m

Davao, Pampanga, Cebu Central Visayas

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Job Description

Key Skills

Quality Analyst USRN License Bedside experience Utilization Review/ Utilization Management

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

Job Title: USRN QA Specialist (Non-Voice)

Account/s: El Paso & Hartford Accounts

Compensation: PHP 60,000 Fixed Package + Comprehensive Benefits

Work Setup: Hybrid / Temporary WFH | Shifting Schedule

Locations: BGC Taguig | Cebu | Davao | Clark, Pampanga

Headcount: 1 Opening (Immediate Start)

Elevate Clinical Quality Standards as a USRN QA Expert

Are you an active USRN with a sharp eye for clinical accuracy and Utilization Management guidelines? We are seeking 1 USRN QA Specialist to oversee quality assurance for our non-voice El Paso and Hartford Accounts. Step into an impactful auditing role where your clinical oversight ensures compliance, drives operational excellence, and directly influences team performance.

Core Responsibilities

Clinical Auditing & Compliance: Conduct detailed quality reviews on non-voice Utilization Review and Utilization Management cases to ensure adherence to medical necessity guidelines and client SLAs.
Targeted Coaching & Feedback: Identify trend errors, analyze performance metrics, and deliver constructive 1-on-1 feedback and coaching to clinical specialists.
Process Improvement: Collaborate with operational leaders to refine clinical workflows, uphold strict US healthcare compliance, and maintain top-tier audit scores across both accounts.

What We Look For

Required Credentials:

Active USRN License (Any US State or Territory) in good standing.

Required Experience:

1+ year of bedside, clinical, or hospital nursing experience.
1 to 2 years of Utilization Review (UR) or Utilization Management (UM) experience in a BPO/CPO setting.
1+ year of direct Quality Assurance (QA) or auditing experience in healthcare operations.

Only 1 slot available. Click Apply Now to secure this high-priority quality oversight role!

Role

Quality Assurance & Control

Timings

Flexible (Permanent)

Industry

Health/Fitness/Wellness

Work Mode

Temporary WFH

Process

Non-Voice

Functional Area

Science / Technology

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