Job Title: USRN CLINICAL TRAINER

Shift: Night shift

Work Set-up: On-site in Bridgetowne, Quezon City

Salary range: 60K to 90K, depending on the candidate's credentials

Start date: Dec 31, 2025/ ASAP

QUALIFICATIONS:

• Bachelor's Degree in Nursing with an active and valid license in USRN

• Must have at least 2 years of experience in utilization management and medical necessity approvals and denials 

• With experience in Virtual or classroom training

• Must have at least 1 year of InterQual process experience

• Minimum of 1 to 2 years of experience in a trainer role

• With BPO/CPO experience

• Experience in a hospital setting or other clinical environment/ contact center setting 

• Familiarity with Medicare rules and regulations and guidelines, including coverage criteria and coding principles

• Experience in handling appeals, utilization review, or related healthcare management functions.

• Excellent verbal and written communication skills are essential for preparing appeal arguments

• Ability to analyze complex medical information and identify relevant clinical issues

• Willingness to work on-site with flexible schedules, including US hours and holidays

PRE-SCREENING QUESTIONS:

1. Do you have an active USRN license?

2. How many years of experience do you have in utilization management, medical necessity approvals, and denials for a healthcare or BPO/CPO setting?

3. How many years of trainer experience do you have?

4. Please provide your years of experience in InterQual and share a brief experience on the process.

5. Are you familiar with Medicare rules and regulations and guidelines including coverage criteria and coding principles?

6. Please rate your ability to analyze complex medical information and identify relevant clinical issues, from 1 to 10, 10 being the highest.

6. How much is your last drawn salary?

7. How much is your salary expectation?

8. Are you amenable to working onsite in Bridgetowne, Quezon City, with a night shift and fixed weekends off schedule?

9. When can you start once hired?