Healthcare Specialist (USRN) - Quezon City at WNS Global Services

Quezon City, Metro Manila, Philippines -

Full Time

Start Date

Immediate

Expiry Date

04 Jun, 26

Salary

0.0

Posted On

06 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Review, Clinical Intake, Adjudication, Escalation, Medical Directors, Active PRC License, Active USRN License, Hospital Experience, Medical Records Experience, Verbal Communication, Written Communication, Healthcare Domain Knowledge, Shifting Schedule

Industry

Business Consulting and Services

Description

Company Description WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain excellence – WNS’ core differentiator – with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience in a world defined by disruption. Our purpose is clear: to enable lasting business value by designing intelligent, human-led solutions that deliver sustainable outcomes and a differentiated impact. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact. Job Description Clinical Review Nurses – Nurse conducts clinical review of cases not meeting criteria by performing clinical intake and adjudicates (closes), requests additional clinical information or escalates to Medical Directors. Qualifications - Active PRC and USRN License - At least 2 years of hospital and medical records experience - Excellent verbal/written communication skills, including the ability to handle interactions with facility personnel and providers in a professional manner. - Good knowledge in Healthcare or Medical domain - Willing to work on shifting schedule - night and graveyard shift - Willing to work on holidays / weekends - Can start ASAP Additional Information Benefits and Company Perks: • Structured career path • Growing and expanding team – more internal career progression opportunities for all • Safe work environment • Free HMO coverage from day 1, including your domestic partner • Skills training opportunities • Paid leaves • Annual appraisal

Responsibilities

The Nurse conducts clinical review of cases that do not meet established criteria by performing clinical intake, adjudicating (closing) cases, requesting additional clinical information, or escalating complex cases to Medical Directors. This role requires active engagement in clinical case management according to defined protocols.