Healthcare Specialist (USRN) - Clinical Review

About the role

WNS, part of Capgemini, is hiring a Healthcare Specialist (USRN) in Quezon City. The nurse performs clinical reviews of cases that do not meet the required criteria, carrying out clinical intake and adjudicating them.

Key responsibilities

• Clinically review cases that do not meet criteria
• Perform clinical intake and adjudicate (close) each case
• Request additional clinical information when needed
• Escalate cases to Medical Directors

Required profile

• Active PRC and USRN license
• At least 2 years of hospital and medical records experience
• Good knowledge of healthcare or the medical domain
• Willingness to work rotating shifts, including night and graveyard shifts
• Willingness to work on holidays and weekends
• Ability to start as soon as possible

Required skills

• Excellent verbal and written communication, including professional interaction with facility personnel and providers

What we offer

• Structured career path and growing team with internal progression opportunities
• Safe work environment
• Free HMO coverage from day 1, including the domestic partner
• Skills training opportunities
• Paid leaves and annual appraisal