Posted 3 months ago
Healthcare Specialist (USRN) - Quezon City
AI Summary
Clinical Review Nurse conducts intake and adjudication of cases not meeting criteria, requests additional clinical information, and escalates to Medical Directors.
About this role
Healthcare Specialist (USRN) - Quezon City
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.
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
Skills
Explore related jobs
More jobs at WNS Global Services
- REF103105I- Assistant Manager - Financial Planning and Analysis- Pune- UK Shift (WFO only)Pune, MH
- Group Manager - OperationsChennai, TN
- Assistant Manager - Training - ( VNA Trainer/Sales Trainer/Communications Trainer/Soft Skills Trainer ) - Pune - REF99766Z_2026245143Pune, MH
- Assistant Manager - Process Training (Process Trainer/Training/Training Delivery) - PunePune, MH
- Assistant Manager - Training - (VnA Trainer/ Sales Trainer/ Soft Skills Trainer/ Communications Trainer) - Gurgaon - NH8 - REF99810A_2026245125Gurgaon, HR
- Assistant Manager - Process Training ( Fare Filing / ATPCO / Airline Process ) - MumbaiMumbai, MH
Similar EMR jobs
Jobs in Quezon City
- Systems AnalystOctal Philippines Inc. · Quezon City, National Capital Region
- Operations Manager (Kenangan Coffee Philippines)Fredley Group of Companies · Quezon City, NCR
- Franchise Relations ManagerFredley Group of Companies · Quezon City, NCR
- Admin Assistant - Australian EcommerceTeamified · Quezon City, Metro Manila
- Sales Development RepresentativeTeamified · Quezon City, Metro Manila
Senior Finance AnalystgoFLUENT · Quezon City, Philippines