US Registered Nurse (Any Mainland License)
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Work Set-up/Location: Temporary WFH; with onsite reporting as needed at the nearest Shearwater site in any of the following locations: Cebu, Manila, Pampanga, or Davao Required License/Credentials: Active USRN license, any mainland U.S. state Account Type: Non-Voice Job Overview Level Up Talent Solutions is looking for a Lean-Pro US Registered Nurse with an active mainland U.S. RN license to support a non-voice healthcare operations account. This role is responsible for reviewing healthcare-related information, applying clinical judgment, following Utilization Management or CPO workflows, and maintaining quality, productivity, and compliance standards. The ideal candidate is an active USRN with recent collective experience in Utilization Management, clinical process outsourcing, or bedside care within the past three years.
Responsibilities Support non-voice healthcare operations using clinical knowledge and account-specific guidelines Review healthcare-related cases, records, or process outputs accurately Apply clinical judgment when reviewing information and completing assigned tasks Follow Utilization Management, CPO, documentation, and workflow requirements Maintain quality, productivity, compliance, and turnaround-time expectations Escalate complex cases, documentation issues, or process concerns when needed Participate in training, calibration, and performance improvement activities
Requirements Active USRN license from any mainland U.S. state At least 1 year of collective Utilization Management, CPO, or bedside experience within the past 3 years Strong clinical judgment and ability to work with healthcare-related documentation Comfortable working in a non-voice healthcare account Detail-oriented, organized, and able to follow process guidelines accurately Strong written communication and documentation skills Able to meet quality and productivity standards in a healthcare operations environment Nice to Have Prior Utilization Review or Utilization Management experience Experience with U.S. healthcare payer or clinical process outsourcing accounts Familiarity with medical necessity review or clinical documentation workflows