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Posted 3 months ago

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Healthcare Specialist (USRN) - Quezon City

Quezon CityFull-time

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

EMRHACCPHIPAAPrcUSRN

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