USRN Utilization Review Nurse

Let your Passion Lead You at the Home of Clinicians with over 6000+ employees who have trusted us with their careers!

Our Clinicians & Associates advocates for better patient care while enjoying these benefits:

• Work from home setup (for selected accounts)
• Competitive Compensation Package
• HMO on Day 1 with 2 dependents upon regularization
• Group Life Insurance
• Highly Competitive Salary
• Complexity Allowance
• Annual Salary Increase
• Quarterly Performance Bonus
• Service Incentive Leave (SIL) with Leave Conversion
• Work-Life Integration
• Visa Sponsorship & Work Abroad through our Nurse Compass Program*
• Earn up to $12,000 in program bonuses, including:
• $1,000 upon I-140 filing
• $1,500 annual milestones
• $5,000 five-year loyalty bonus
• $3,000 U.S. arrival bonus
• Build your U.S. nursing career with Shearwater Health.

Terms and conditions apply.

Job Summary

The USRN Utilization Review Nurse role is responsible in performing medical necessity review of proposed prospective, concurrent, and retrospective cases such as medical treatments, auto-injury related request, hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiently in accordance with the client's-specific contract rules and guidelines and with company's policies, practices and procedures to facilitate quality and cost effective care for the injured employee.

Qualifications:

• Must have an active PRC and US Nursing License
• Must have at least one (1) year of recent and relevant hospital bedside care experience
• Must have at least one (1) year of Utilization Review/Management experience in CPO/BPO setting

Note: Kindly ensure to complete the pre-screening questions and upload your resume to proceed in the next stage of the recruitment process.

#SWHL

Job Types: Full-time, Permanent

Benefits:

• Additional leave
• Flexible schedule
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Work from home

Education:

• Bachelor's (Required)

License/Certification:

• PRC License (Required)
• USRN License (Required)

Work Location: Hybrid remote in Philippines