Job Overview:
Deliver high-impact clinical training that equips licensed clinicians to excel in US managed care operations. Build clinical competency, strengthen quality, and support continuous learning across clinical teams.

Key Responsibilities:
1) Facilitate onboarding, pre-production, and continuing education (CE) training for clinical staff.
2) Deliver training modules on Utilization Management (UM), Utilization Review (UR), Case Management (CM) workflows, clinical documentation, HIPAA/PHI compliance, and clinical protocols.
3) Conduct skills validations, case simulations, and competency assessments.
4) Develop, review, and update standard operating procedures (SOPs), job aids, and workflow guides.
5) Maintain accurate, audit-ready training records and competency files.
6) Collaborate with Operations, Quality Assurance (QA), and Talent Acquisition (TA) to address performance gaps and support training pipeline needs.

Qualifications:
1) Bachelor of Science in Nursing (BSN).
2) Active Philippine Registered Nurse (PHRN) license.
3) Active, unrestricted USRN license; NCLEX must be passed.
4) At least 3 years of clinical experience.
5) At least 1–2 years of clinical training, education, or facilitation experience.
6) Strong understanding of US managed care, Utilization Management (UM), Utilization Review (UR), and HIPAA/PHI compliance.
7) Excellent facilitation, communication, and clinical documentation skills.
8) Willing to work onsite in Vertis North, Quezon City, on a US day shift.
9) Healthcare BPO training experience.
10) Experience supporting UR/UM operations.
11) Exposure to URAC/NCQA standards or clinical documentation platforms.
12) Currently working as a Clinical Trainer or Apprentice Trainer, with relevant clinical training experience.


USRN License Validity: The license must be active. Candidates whose licenses are nearing expiration must be willing to renew it.

Required Assessment:
1) Candidates must complete an on-the-spot clinical review writing assessment during the interview.
2) Please advise candidates in advance that a laptop or desktop computer is required to complete the assessment.

Recruitment Process: 
1) Profile Validation
2) Profile Review
3) Talent Acquisition (TA) Interview
4) Hiring Manager (HM) Interview
5) Client Interview


Pre-Screening Notes

a) Educational Attainment:
b) Years of Clinical and Healthcare Operations Experience:
c) Years of Experience in Clinical Training, Education, or Facilitation:
d) US Managed Care Experience: Do you have experience in US managed care, Utilization Management (UM), Utilization Review (UR), and HIPAA/PHI compliance? Please provide details.
e) Licenses: Do you have an active Philippine RN (PHRN) license and an active, unrestricted USRN license? When do your licenses expire?
f) Current Role: Are you currently working as a Clinical Trainer or Apprentice Trainer?
g) Last Drawn Salary:
h) Expected Salary: