142 Ph Nurse jobs in the Philippines

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
As an Associate Underwriter you will develop comparative benefit packages, review claim experience, and apply underwriting guidelines to prepare renewal and/or prospect rates. This individual will support Marketing in completing group experience retention illustrations and address questions on request for proposals. The underwriter will analyze health benefit plan characteristics and assess risks around loss of clients.
**Primary Responsibility:**
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ PHRN with active license
+ 3+ years hospital/clinical experience
+ Proven excellent communication skills, both orally and in writing
+ PHRN who possess solid medical/clinical knowledge to interpret available medical information
+ Must be amenable to work in Quezon City
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Optum is a drug-free workplace. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Primary Responsibilities:**
+ Assesses and interprets customer needs and requirements
+ Identifies solutions to non-standard requests and problems
+ Solves moderately complex problems and/or conducts moderately complex analyses
+ Works with minimal guidance; seeks guidance on only the most complex tasks
+ Translates concepts into practice
+ Provides explanations and information to others on difficult issues
+ Coaches, provides feedback, and guides others
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Bachelor's Degree in Nursing
+ With valid and unrestricted USRN Licenses
+ 2+ years of clinical nursing and/or USRN contact center experience
+ Willing to work onsite at One Ayala Makati
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Optum is a drug-free workplace. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved_ .

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Primary Responsibilities:**
+ Assesses and interprets customer needs and requirements
+ Identifies solutions to non-standard requests and problems
+ Solves moderately complex problems and/or conducts moderately complex analyses
+ Works with minimal guidance; seeks guidance on only the most complex tasks
+ Translates concepts into practice
+ Provides explanations and information to others on difficult issues
+ Coaches, provides feedback, and guides others
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Bachelor's Degree in Nursing
+ With valid and unrestricted USRN Licenses
+ 2+ years of clinical nursing and/or USRN contact center experience
+ Willing to work onsite at One Ayala Makati
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Optum is a drug-free workplace. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved_ .

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Primary Responsibilities:**
+ Assesses and interprets customer needs and requirements
+ Identifies solutions to non-standard requests and problems
+ Solves moderately complex problems and/or conducts moderately complex analyses
+ Works with minimal guidance; seeks guidance on only the most complex tasks
+ Translates concepts into practice
+ Provides explanations and information to others on difficult issues
+ Coaches, provides feedback, and guides others
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Bachelor's Degree in Nursing
+ With valid and unrestricted USRN Licenses
+ 2+ years of clinical nursing and/or USRN contact center experience
+ Willing to work onsite at One Ayala Makati
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Optum is a drug-free workplace. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved_ .

Responsible for reviewing and analyzing institutional and professional claims and supporting medical documents to determine medical necessity of billed services and benefits payable according to established guidelines.
- Primary duties may include, but are not limited to: Reviews, analyzes and renders determinations on requests from the providers and beneficiaries for reconsideration of previously rendered medical decisions relating to claims issues.

**Qualifications**:

- Requires a current Philippines RN license; 4 years of health care experience; or any combination of education and experience, which would provide an equivalent background. Current unrestricted RN license in applicable state(s) as required.
- Must have an Active PRC Nursing License.
- Experience with daily operations in a clinical, managed care, hospital care setting including working with provider systems and medical providers is an advantage.
- Prior Utilization Management or Prior Authorization Clinical Experience is an advantage, but not required.
- Role requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Questions? Chat with us via Facebook Messenger at m.me/LegatohealthPH

**What you can look forward to**:

- Competitive Compensation and Benefits package
- Quarterly Incentive Program*, computed as % from annual gross compensation
- Premium HMO Coverage, covering employee + up to 2 dependents on Day 1 of employment
- Vacation and sick leaves with annual conversion*
- Weekends off fixed night shift schedule for most lines of businesses
- Retirement package eligibility depending on tenure of employment
- Opportunity to join a paid Training Program and potential sponsorship to take the NCLEX and get a USRN license*

*Terms and conditions apply.

**Salary**: Up to Php30,000.00 per month

Schedule:

- 8 hour shift

Supplemental pay types:

- 13th month salary
- Overtime pay
- Quarterly bonus

Ability to commute/relocate:

- Taguig: Reliably commute or planning to relocate before starting work (preferred)

**Education**:

- Bachelor's (preferred)

**Experience**:

- Nursing: 1 year (preferred)

License/Certification:

- Philippine Registered Nurse License (preferred)

Responsible for reviewing and analyzing institutional and professional claims and supporting medical documents to determine medical necessity of billed services and benefits payable according to established guidelines.
- Primary duties may include, but are not limited to: Reviews, analyzes and renders determinations on requests from the providers and beneficiaries for reconsideration of previously rendered medical decisions relating to claims issues.

**Qualifications**:

- Requires a current Philippines RN license; 4 years of health care experience; or any combination of education and experience, which would provide an equivalent background. Current unrestricted RN license in applicable state(s) as required.
- Must have an Active PRC Nursing License.
- Experience with daily operations in a clinical, managed care, hospital care setting including working with provider systems and medical providers is an advantage.
- Prior Utilization Management or Prior Authorization Clinical Experience is an advantage, but not required.
- Role requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Questions? Chat with us via Facebook Messenger at m.me/LegatohealthPH

**What you can look forward to**:

- Competitive Compensation and Benefits package
- Quarterly Incentive Program*, computed as % from annual gross compensation
- Premium HMO Coverage, covering employee + up to 2 dependents on Day 1 of employment
- Vacation and sick leaves with annual conversion*
- Weekends off fixed night shift schedule for most lines of businesses
- Retirement package eligibility depending on tenure of employment
- Opportunity to join a paid Training Program and potential sponsorship to take the NCLEX and get a USRN license*

*Terms and conditions apply.

**Salary**: Up to Php30,000.00 per month

Schedule:

- 8 hour shift

Supplemental pay types:

- 13th month salary
- Overtime pay
- Quarterly bonus

Ability to commute/relocate:

- Iloilo, Probinsya sang Iloilo: Reliably commute or planning to relocate before starting work (preferred)

**Education**:

- Bachelor's (preferred)

**Experience**:

- Nursing: 1 year (preferred)

License/Certification:

- Philippine Registered Nurse License (preferred)

Primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner.
br>· Candidate must be a graduate of any 4-year course br>· Preferably with at least 1 year of related experience in customer service br>· Must have excellent verbal communication skills. br>
Mandaluyong
Makati

ob Description:
The Patient Care Specialist primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner. br>
Requirements:
· Candidate must be a graduateof any 4-year course br>· Preferably with at least 1 year of related experience in customer service br>· Must have excellent verbal communication skills. br>
"6 days a week
Onsite
Clinic Hours: 10:00AM-5:00/7:00PM
1 Day Off (Weekday)"

Job Summary:
A Patient Care Specialist acts as a liaison between patients, medical staff, and healthcare providers. They help coordinate patient appointments, assist with medical records, address patient concerns, and ensure a smooth and efficient flow of care. The specialist also helps improve the overall patient experience by providing excellent customer service and ensuring that patients’ needs are met in a timely manner. br>
Key Responsibilities:
1. Patient Interaction & Support:
Patient Intake: Greet patients, collect personal and insurance information, and verify patient details.
Patient Communication: Answer patient inquiries via phone, email, or in person. Provide information about treatments, appointments, insurance, and policies.
Appointment Scheduling: Schedule, reschedule, and confirm patient appointments. Ensure proper coordination of appointments with physicians, specialists, or departments.
Patient Advocacy: Serve as a patient advocate, ensuring their concerns are addressed and that they understand their treatment plans, follow-up needs, and care instructions.

2. Administrative Support:
Medical Records Management: Update and maintain accurate patient records in the electronic health record (EHR) system, ensuring compliance with confidentiality and HIPAA regulations.
Insurance Verification: Verify insurance information, assist with claims, and address any billing questions or issues that may arise.
Data Entry: Enter patient data, treatment information, and other relevant records into the healthcare system for tracking and reporting purposes.
Appointment Reminders: Send reminders for upcoming appointments and follow-up visits via calls, texts, or emails.

3. Patient Education:
Care Instructions: Provide patients with pre- and post-care instructions, explaining procedures, medication regimens, and any other necessary healthcare information.
Health Resources: Direct patients to additional resources such as educational materials, support groups, or healthcare providers based on their needs.

4. Coordination of Care:
Referral Coordination: Assist patients in coordinating referrals to specialists or follow-up appointments as recommended by the healthcare provider.
Test Results & Follow-ups: Help ensure patients receive test results and follow-up instructions promptly. Communicate results to patients as directed by healthcare providers.
Team Collaboration: Work closely with physicians, nurses, medical assistants, and other healthcare professionals to ensure that patients receive comprehensive care and that all aspects of their treatment are coordinated.

5. Billing & Payment Assistance:
Insurance Verification: Confirm patient insurance eligibility, coverage, and benefits before appointments.
Billing Support: Assist patients with billing questions, provide cost estimates for procedures, and help them understand their financial responsibilities for services rendered.

6. Patient Advocacy & Experience:
Patient Comfort: Ensure patients are comfortable and informed during their visits, addressing any concerns or anxieties they may have about their care.
Feedback Collection: Gather patient feedback about their experiences and escalate any unresolved issues or complaints to appropriate staff or management.

7. Compliance & Record-Keeping:
Confidentiality & HIPAA Compliance: Ensure all patient data is kept confidential and handled according to HIPAA regulations.
Health Regulations: Stay updated on health regulations, medical office protocols, and best practices for patient care.

Skills & Qualifications:
Education:
Candidate must be a graduate of any 4-year course
Preferably with at least 1 year of related experience in customer service

Key Skills:
Excellent Communication: Ability to communicate clearly and compassionately with patients, families, and healthcare teams.
Empathy & Compassion: A caring attitude and ability to build rapport with patients and help ease their concerns.
Attention to Detail: Ensure accurate data entry, billing information, and patient records are maintained.
Problem-Solving: Ability to troubleshoot patient concerns, resolve scheduling conflicts, and manage billing issues efficiently.
Organizational Skills: Strong ability to juggle multiple tasks, manage appointments, and ensure smooth operations in a busy healthcare environment.
Knowledge of Healthcare Terminology: Understanding of medical terms, insurance policies, and healthcare practices.
Multitasking: Ability to handle multiple tasks simultaneously, including answering phones, assisting patients, and updating records.