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Coordinating Benefit Review Nurse at International SOS Government Medical Services
Pasig, Metro Manila, Philippines - Full Time
Skills Needed
Utilization Review, Clinical Documentation Review, Care Management, Medical Benefit Review, Analytical Skills, Customer Service, Ms Office, Communication Skills, Healthcare Service Request Evaluation
Specialization
Candidates must hold an active Philippines Registered Nurse license and an active USRN license, along with a Bachelor of Science in Nursing degree. A minimum of 2 years of clinical experience and specific experience in medical benefit review within a BPO setting is required.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) | Day Shift at Reserve Health
Gastonia, North Carolina, United States - Full Time
Skills Needed
Registered Nursing, Health Assessments, Patient Care, Medication Administration, Electronic Health Records, Emergency Response, Clinical Documentation, Patient Education, Multidisciplinary Collaboration, Correctional Healthcare, Cpr, Bls, Acls, Vaccination Administration
Specialization
Requires a current North Carolina RN license and CPR/BLS/ACLS certifications. Candidates should have experience with electronic health records and a Bachelor of Science in Nursing.
Registered Nurse (RN) Overnights at Care Initiatives
Eldora, Iowa, United States - Full Time
Skills Needed
Nursing Care, Medication Administration, Clinical Documentation, Patient Monitoring, Infection Control, Safety Compliance, Interdisciplinary Collaboration, Communication, Empathy, Respect, Patience
Specialization
Candidates must hold a valid Registered Nurse (RN) license in the state of Iowa and possess a current CPR certification. A strong commitment to empathetic, respectful, and patient-centered care is required.
Progressive Care Registered Nurse at Integrity Medical Staffing
Osage Beach, Missouri, United States - Full Time
Skills Needed
Progressive Care, Patient Monitoring, Medication Administration, Acute Care, Bls, Acls, Nih Stroke Scale, Pals, Patient Assessment, Care Coordination, Documentation
Specialization
Candidates must hold an active RN license in Missouri or a compact state and possess an Associate Degree in Nursing. Required certifications include BLS, ACLS, and NIH Stroke Scale, with a minimum of one year of acute care hospital experience preferred.
Registered Nurse (RN) - Med Surg at Tenet Healthcare
Goodyear, Arizona, United States - Full Time
Skills Needed
Interpersonal Skills, Teamwork, Fast Paced Environment, Customer Service, Computer Skills, Nursing Process, Care Planning, Delegation, Independent Judgement, Quality Evaluation, Safety Guidelines, Acls, Pals, Enpc, Nrp
Specialization
Minimum requirements include a Nursing Degree from an accredited school and a License to practice as a Registered Nurse in Arizona, along with CPR certification, and ACLS as applicable by department. Preferred qualifications include a BSN and one year of acute care experience.
Registered Nurse (RN) - Med Surg at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Nursing, Patient Care, Telemetry, Stroke Care, Neurological Care, Clinical Assessment, Patient Monitoring, Discharge Planning, Collaboration, Leadership, Supervision, Communication, Critical Thinking, Bls, Documentation
Specialization
Candidates must have graduated from a school of nursing and hold a valid Michigan Registered Nurse license. A BSN is preferred, and American Heart Association BLS certification is required.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) Observation at Lifepoint Health
Marquette, Michigan, United States - Full Time
Skills Needed
Medication Administration, Specimen Collection, Patient Assessment, Clinical Treatments, Patient Documentation, Patient Advocacy, Patient Education, Care Coordination, Activities Of Daily Living, Basic Life Support, Advanced Cardiovascular Life Support, Interdisciplinary Collaboration
Specialization
Applicants must hold a current Michigan RN license and possess at least an associate’s degree from an accredited nursing school. Additionally, a Basic Life Support (BLS-HCP) certification is required, with Advanced Cardiovascular Life Support (ACLS) preferred.
Registered Nurse (RN) Night shift at Lauderdale Community Living Center
Ripley, Tennessee, United States - Full Time
Skills Needed
Registered Nurse, Medication Administration, Treatments, Adl Care, Physician Orders, Plan Of Care, Scope Of Practice, Monitoring, Record Keeping
Specialization
Candidates must possess a Registered Nurse (RN) license in good standing and a current Basic Life Support (BLS) license. The role seeks a highly skilled, caring, and compassionate professional for night shifts.
Registered Nurse (RN) Observation at Lifepoint Health
Marquette, Michigan, United States - Full Time
Skills Needed
Medication Administration, Specimen Collection, Patient Assessment, Clinical Treatments, Patient Documentation, Care Coordination, Patient Advocacy, Patient Education, Basic Life Support, Advanced Cardiovascular Life Support, Interdisciplinary Collaboration, Personal Hygiene Assistance, Nutrition Support, Ambulation Assistance
Specialization
Applicants must hold a current Michigan RN license and an associate’s degree from an accredited nursing school, with a bachelor’s degree preferred. Required certifications include Basic Life Support (BLS-HCP), with Advanced Cardiovascular Life Support (ACLS) preferred.
*Registered Nurse II (RN) - PreOp at Tenet Healthcare
San Antonio, Texas, United States - Full Time
Skills Needed
Nursing Care, Patient Assessment, Preoperative Care, Basic Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support, Clinical Competency, Compassionate Care, Surgical Services, Peri Anesthesia Care, Critical Care
Specialization
Requires a graduate degree from an accredited school of nursing and a current Texas State License for Registered Nurse. Must obtain BLS, ACLS, and PALS certifications within 60 days of hire.
Registered Nurse, Preop PACU SDEX at Hudson Hospital
Saint Paul, Minnesota, United States - Full Time
Skills Needed
Assessment, Documentation, Patient Preparation, Post Operative Monitoring, Anesthesia Emergence, Discharge Instruction Communication, Perioperative Nursing, Pacu, Sdex, Bls Certification, Acls, Pals
Specialization
Candidates must possess a Bachelor's degree in Nursing and have two years of progressive care nursing experience within an acute hospital setting, along with a current Minnesota Registered Nurse license. Required certifications include BLS upon hire, with ACLS and PALS needed within six months, and ICU experience is strongly preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Oncology at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Nursing, Collaboration, Delegation, Assessment, Evaluation, Supervision, Communication, Patient Discharge, Oncology Nursing, Bls Certification
Specialization
Candidates must have graduated from a school of nursing and possess a current Registered Nurse (RN) license to practice in the state of Michigan. A Bachelor of Science in Nursing (BSN) is preferred, and American Heart Association (AHA) Basic Life Support (BLS) certification is required.
Registered Nurse (RN) - Med Surg at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Nursing, Collaboration, Delegation, Assessment, Evaluation, Supervision, Communication, Leadership, Discharge Planning, Bls Certification
Specialization
Candidates must have graduated from a school of nursing and possess a current Registered Nurse (RN) license in the state of Michigan, along with an American Heart Association (AHA) BLS certification. A Bachelor of Science in Nursing (BSN) is preferred.
Registered Nurse (RN) - Med Surg at Tenet Healthcare Corporation
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Nursing, Collaboration, Delegation, Assessment, Evaluation, Supervision, Leadership, Communication, Discharge Planning, Teamwork, Clinical Expertise, Research
Specialization
Candidates must have graduated from a school of nursing and be licensed to practice as a Registered Nurse (RN) in the state of Michigan, along with holding an American Heart Association (AHA) BLS certification. A Bachelor of Science in Nursing (BSN) is preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Med Surg at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Nursing Care, Patient Assessment, Patient Monitoring, Discharge Planning, Collaboration, Leadership, Supervision, Communication, Critical Thinking, Bls, Med Surg Nursing
Specialization
Candidates must have graduated from a school of nursing and hold a valid Michigan Registered Nurse license. A BSN is preferred, and American Heart Association BLS certification is required.
Registered Nurse (RN) - Telemetry at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Telemetry, Cardiac Care, Patient Assessment, Arrhythmia Interpretation, Ekg Interpretation, Acls, Bls, Patient Monitoring, Nursing Care, Collaboration, Patient Discharge Planning, Clinical Documentation
Specialization
Candidates must have graduated from a school of nursing and hold a valid Registered Nurse license in the state of Michigan. A BLS certification from the American Heart Association is required, and a BSN is preferred.
Registered Nurse (RN) - Telemetry at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Telemetry, Cardiac Care, Acls, Arrhythmia Interpretation, Ekg Interpretation, Patient Care, Delegation, Assessment, Collaboration, Leadership, Supervision
Specialization
Candidates must have graduated from a school of nursing and be licensed to practice as a Registered Nurse (RN) in Michigan, with American Heart Association (AHA) BLS certification required. A Bachelor of Science in Nursing (BSN) is preferred.
Registered Nurse (RN) - Telemetry at Tenet Healthcare Corporation
Commerce Charter Township, Michigan, United States - Full Time
Skills Needed
Patient Care, Independent Judgment, Communication, Collaboration, Leadership, Delegation, Assessment, Evaluation, Supervision, Discharge Planning
Specialization
Candidates must have graduated from a school of nursing and be licensed as a Registered Nurse (RN) in the state of Michigan, with American Heart Association (AHA) BLS certification required. A Bachelor of Science in Nursing (BSN) is preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Recovery at Tenet Healthcare Corporation
Delray Beach, Florida, United States - Full Time
Skills Needed
Registered Nurse, Nursing Care, Patient Care Coordination, Safety Standards, Risk Management, Infection Control, Bls Certification, Ekg Certification, Acls Certification, Pals Certification
Specialization
Candidates must be a graduate of an accredited school of nursing and hold a current Registered Nurse license in the State of Florida, along with BLS Certification. Prior clinical experience in the area of expertise is preferred, and additional certifications like EKG, ACLS, and PALS are required.
Registered Nurse (RN) - Med Surg at Tenet Healthcare Corporation
Turlock, California, United States - Full Time
Skills Needed
Direct Clinical Patient Care, Assessing, Planning, Implementing Direct Clinical Care, Supervision, Resource Management, Compassion, Innovation, Professional Growth, Work Life Balance, Nursing
Specialization
Candidates must be a graduate of an accredited School of Nursing and must currently be licensed, certified, or registered to practice as required by law, regulation, or policy, including current CPR certification. An academic degree in nursing (Bachelor's or Master's) is preferred.
Coordinating Benefit Review Nurse at International SOS Government Medical Services
Pasig, Metro Manila, Philippines -
Full Time

Start Date

Immediate

Expiry Date

05 Jul, 26

Salary

0.0

Posted On

06 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Utilization review, Clinical documentation review, Care management, Medical benefit review, Analytical skills, Customer service, MS Office, Communication skills, Healthcare service request evaluation

Industry

Medical Practices

Description
Job Title: Utilization Review Nurse (USRN Only - Dayshift)Description: About the RoleWe are looking for a Coordinating Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria and U.S. Federal Employee Health Benefit (FEHB) Program policies. This role supports Japan-based US DoD Civilians and involves close collaboration with regional medical teams. Key Responsibilities Review and evaluate medical documentation based on established clinical guidelines and carrier policies. Ensure accuracy, efficiency, and quality in care management reviews. Coordinate with internal teams and Japan-based colleagues to obtain required case information. Maintain confidentiality and uphold ethical medical review standards. Support continuous improvement through data insights and collaboration. Qualifications Active Philippines Registered Nurse license (valid for at least 12 months). Active USRN License.  Bachelor of Science in Nursing graduate. Minimum 2 years of clinical experience. Medical benefit review experience (URM) in a BPO supporting U.S. health insurance carriers (required). Strong communication, analytical, and customer service skills. Proficient in MS Office and able to navigate multiple systems. Job Details: 12 hours duty. (4 days duty, 3 days off) Morning Shift Work Onsite in Ortigas, Pasig Why join us? Be part of a global organization dedicated to providing exceptional medical and travel security services. Work in a dynamic and supportive environment. Opportunity to make a meaningful impact on the health and well-being of our clients. 
Responsibilities
The Coordinating Benefit Review Nurse evaluates medical documentation to determine coverage eligibility based on clinical criteria and U.S. Federal Employee Health Benefit policies. They also coordinate with internal and regional medical teams to ensure accurate and efficient care management.
Coordinating Benefit Review Nurse at International SOS Government Medical Services
Pasig, Metro Manila, Philippines - Full Time
Skills Needed
Utilization Review, Clinical Documentation Review, Care Management, Medical Benefit Review, Analytical Skills, Customer Service, Ms Office, Communication Skills, Healthcare Service Request Evaluation
Specialization
Candidates must hold an active Philippines Registered Nurse license and an active USRN license, along with a Bachelor of Science in Nursing degree. A minimum of 2 years of clinical experience and specific experience in medical benefit review within a BPO setting is required.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) | Day Shift at Reserve Health
Gastonia, North Carolina, United States - Full Time
Skills Needed
Registered Nursing, Health Assessments, Patient Care, Medication Administration, Electronic Health Records, Emergency Response, Clinical Documentation, Patient Education, Multidisciplinary Collaboration, Correctional Healthcare, Cpr, Bls, Acls, Vaccination Administration
Specialization
Requires a current North Carolina RN license and CPR/BLS/ACLS certifications. Candidates should have experience with electronic health records and a Bachelor of Science in Nursing.
Registered Nurse (RN) Overnights at Care Initiatives
Eldora, Iowa, United States - Full Time
Skills Needed
Nursing Care, Medication Administration, Clinical Documentation, Patient Monitoring, Infection Control, Safety Compliance, Interdisciplinary Collaboration, Communication, Empathy, Respect, Patience
Specialization
Candidates must hold a valid Registered Nurse (RN) license in the state of Iowa and possess a current CPR certification. A strong commitment to empathetic, respectful, and patient-centered care is required.
Progressive Care Registered Nurse at Integrity Medical Staffing
Osage Beach, Missouri, United States - Full Time
Skills Needed
Progressive Care, Patient Monitoring, Medication Administration, Acute Care, Bls, Acls, Nih Stroke Scale, Pals, Patient Assessment, Care Coordination, Documentation
Specialization
Candidates must hold an active RN license in Missouri or a compact state and possess an Associate Degree in Nursing. Required certifications include BLS, ACLS, and NIH Stroke Scale, with a minimum of one year of acute care hospital experience preferred.
Registered Nurse (RN) - Med Surg at Tenet Healthcare
Goodyear, Arizona, United States - Full Time
Skills Needed
Interpersonal Skills, Teamwork, Fast Paced Environment, Customer Service, Computer Skills, Nursing Process, Care Planning, Delegation, Independent Judgement, Quality Evaluation, Safety Guidelines, Acls, Pals, Enpc, Nrp
Specialization
Minimum requirements include a Nursing Degree from an accredited school and a License to practice as a Registered Nurse in Arizona, along with CPR certification, and ACLS as applicable by department. Preferred qualifications include a BSN and one year of acute care experience.
Registered Nurse (RN) - Med Surg at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Nursing, Patient Care, Telemetry, Stroke Care, Neurological Care, Clinical Assessment, Patient Monitoring, Discharge Planning, Collaboration, Leadership, Supervision, Communication, Critical Thinking, Bls, Documentation
Specialization
Candidates must have graduated from a school of nursing and hold a valid Michigan Registered Nurse license. A BSN is preferred, and American Heart Association BLS certification is required.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) Observation at Lifepoint Health
Marquette, Michigan, United States - Full Time
Skills Needed
Medication Administration, Specimen Collection, Patient Assessment, Clinical Treatments, Patient Documentation, Patient Advocacy, Patient Education, Care Coordination, Activities Of Daily Living, Basic Life Support, Advanced Cardiovascular Life Support, Interdisciplinary Collaboration
Specialization
Applicants must hold a current Michigan RN license and possess at least an associate’s degree from an accredited nursing school. Additionally, a Basic Life Support (BLS-HCP) certification is required, with Advanced Cardiovascular Life Support (ACLS) preferred.
Registered Nurse (RN) Night shift at Lauderdale Community Living Center
Ripley, Tennessee, United States - Full Time
Skills Needed
Registered Nurse, Medication Administration, Treatments, Adl Care, Physician Orders, Plan Of Care, Scope Of Practice, Monitoring, Record Keeping
Specialization
Candidates must possess a Registered Nurse (RN) license in good standing and a current Basic Life Support (BLS) license. The role seeks a highly skilled, caring, and compassionate professional for night shifts.
Registered Nurse (RN) Observation at Lifepoint Health
Marquette, Michigan, United States - Full Time
Skills Needed
Medication Administration, Specimen Collection, Patient Assessment, Clinical Treatments, Patient Documentation, Care Coordination, Patient Advocacy, Patient Education, Basic Life Support, Advanced Cardiovascular Life Support, Interdisciplinary Collaboration, Personal Hygiene Assistance, Nutrition Support, Ambulation Assistance
Specialization
Applicants must hold a current Michigan RN license and an associate’s degree from an accredited nursing school, with a bachelor’s degree preferred. Required certifications include Basic Life Support (BLS-HCP), with Advanced Cardiovascular Life Support (ACLS) preferred.
*Registered Nurse II (RN) - PreOp at Tenet Healthcare
San Antonio, Texas, United States - Full Time
Skills Needed
Nursing Care, Patient Assessment, Preoperative Care, Basic Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support, Clinical Competency, Compassionate Care, Surgical Services, Peri Anesthesia Care, Critical Care
Specialization
Requires a graduate degree from an accredited school of nursing and a current Texas State License for Registered Nurse. Must obtain BLS, ACLS, and PALS certifications within 60 days of hire.
Registered Nurse, Preop PACU SDEX at Hudson Hospital
Saint Paul, Minnesota, United States - Full Time
Skills Needed
Assessment, Documentation, Patient Preparation, Post Operative Monitoring, Anesthesia Emergence, Discharge Instruction Communication, Perioperative Nursing, Pacu, Sdex, Bls Certification, Acls, Pals
Specialization
Candidates must possess a Bachelor's degree in Nursing and have two years of progressive care nursing experience within an acute hospital setting, along with a current Minnesota Registered Nurse license. Required certifications include BLS upon hire, with ACLS and PALS needed within six months, and ICU experience is strongly preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Oncology at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Nursing, Collaboration, Delegation, Assessment, Evaluation, Supervision, Communication, Patient Discharge, Oncology Nursing, Bls Certification
Specialization
Candidates must have graduated from a school of nursing and possess a current Registered Nurse (RN) license to practice in the state of Michigan. A Bachelor of Science in Nursing (BSN) is preferred, and American Heart Association (AHA) Basic Life Support (BLS) certification is required.
Registered Nurse (RN) - Med Surg at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Nursing, Collaboration, Delegation, Assessment, Evaluation, Supervision, Communication, Leadership, Discharge Planning, Bls Certification
Specialization
Candidates must have graduated from a school of nursing and possess a current Registered Nurse (RN) license in the state of Michigan, along with an American Heart Association (AHA) BLS certification. A Bachelor of Science in Nursing (BSN) is preferred.
Registered Nurse (RN) - Med Surg at Tenet Healthcare Corporation
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Nursing, Collaboration, Delegation, Assessment, Evaluation, Supervision, Leadership, Communication, Discharge Planning, Teamwork, Clinical Expertise, Research
Specialization
Candidates must have graduated from a school of nursing and be licensed to practice as a Registered Nurse (RN) in the state of Michigan, along with holding an American Heart Association (AHA) BLS certification. A Bachelor of Science in Nursing (BSN) is preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Med Surg at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Nursing Care, Patient Assessment, Patient Monitoring, Discharge Planning, Collaboration, Leadership, Supervision, Communication, Critical Thinking, Bls, Med Surg Nursing
Specialization
Candidates must have graduated from a school of nursing and hold a valid Michigan Registered Nurse license. A BSN is preferred, and American Heart Association BLS certification is required.
Registered Nurse (RN) - Telemetry at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Telemetry, Cardiac Care, Patient Assessment, Arrhythmia Interpretation, Ekg Interpretation, Acls, Bls, Patient Monitoring, Nursing Care, Collaboration, Patient Discharge Planning, Clinical Documentation
Specialization
Candidates must have graduated from a school of nursing and hold a valid Registered Nurse license in the state of Michigan. A BLS certification from the American Heart Association is required, and a BSN is preferred.
Registered Nurse (RN) - Telemetry at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Telemetry, Cardiac Care, Acls, Arrhythmia Interpretation, Ekg Interpretation, Patient Care, Delegation, Assessment, Collaboration, Leadership, Supervision
Specialization
Candidates must have graduated from a school of nursing and be licensed to practice as a Registered Nurse (RN) in Michigan, with American Heart Association (AHA) BLS certification required. A Bachelor of Science in Nursing (BSN) is preferred.
Registered Nurse (RN) - Telemetry at Tenet Healthcare Corporation
Commerce Charter Township, Michigan, United States - Full Time
Skills Needed
Patient Care, Independent Judgment, Communication, Collaboration, Leadership, Delegation, Assessment, Evaluation, Supervision, Discharge Planning
Specialization
Candidates must have graduated from a school of nursing and be licensed as a Registered Nurse (RN) in the state of Michigan, with American Heart Association (AHA) BLS certification required. A Bachelor of Science in Nursing (BSN) is preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Recovery at Tenet Healthcare Corporation
Delray Beach, Florida, United States - Full Time
Skills Needed
Registered Nurse, Nursing Care, Patient Care Coordination, Safety Standards, Risk Management, Infection Control, Bls Certification, Ekg Certification, Acls Certification, Pals Certification
Specialization
Candidates must be a graduate of an accredited school of nursing and hold a current Registered Nurse license in the State of Florida, along with BLS Certification. Prior clinical experience in the area of expertise is preferred, and additional certifications like EKG, ACLS, and PALS are required.
Registered Nurse (RN) - Med Surg at Tenet Healthcare Corporation
Turlock, California, United States - Full Time
Skills Needed
Direct Clinical Patient Care, Assessing, Planning, Implementing Direct Clinical Care, Supervision, Resource Management, Compassion, Innovation, Professional Growth, Work Life Balance, Nursing
Specialization
Candidates must be a graduate of an accredited School of Nursing and must currently be licensed, certified, or registered to practice as required by law, regulation, or policy, including current CPR certification. An academic degree in nursing (Bachelor's or Master's) is preferred.