Gratitude India

Quality Assurance Analyst - US Reristered Nurse | Healthcare

2 - 5 year(s)

Philippines - Manila (Makati, Pasig, Cubao Quezon City)

100 - 120 Thousand p.m

Job Description

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Role: Nurse

Timings: Day Shift (Permanent)

Industry: BPO

Work Mode: Work from office

Functional Area: Medical Professional / Healthcare Practitioner / Technician

Key Skills:

USRN
PH - Registered Nurse
US Registered Nurse
bpo
USRN License
QA SKILLS
* Above average communication skills
Proficiency in MS Office
reviewing medical data or documentation
Medical Account for clerical or administrative support;

USRN Quality Assurance Analyst – Healthcare

TP Alphaland | Night Shift | ₱80,000 – ₱120,000 | Headcount: 2
We are hiring experienced USRN Quality Assurance Analysts to drive clinical excellence and ensure compliance across U.S. healthcare operations. This role is ideal for detail-oriented nurses passionate about quality, accuracy, and continuous improvement in a high-impact environment.

Key Responsibilities:
- Perform audits on Utilization Management, Case Management, triage calls, and medical necessity reviews
- Ensure adherence to U.S. healthcare standards (MCG/InterQual, CMS, HIPAA)
- Evaluate clinical documentation, coding accuracy (ICD-10/CPT), and care appropriateness
- Deliver actionable feedback and support coaching for clinical teams
- Analyze quality trends, prepare reports, and support performance improvement initiatives
- Participate in calibration sessions and assist with internal/external audits
Qualifications:
- Active PH RN license and current, unrestricted USRN license
- 2+ years bedside experience (ER, ICU, Med-Surg preferred)
- 1+ year U.S. healthcare/BPO experience (UM, CM, Appeals, Triage)
- QA, clinical auditing, or reviewer experience required
- Strong knowledge of MCG, InterQual, HIPAA, and U.S. healthcare practices
- Excellent analytical, communication, and documentation skills
- Proficiency in MS Office and QA tools

Note: Gratitude doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@gratitudeindia.com.

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Isaac Love

Recruiter - Gratitude India

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