Updating Results


  • 1,000 - 50,000 employees

PHRN - Nurse Utilization and Clinical Advisor Services Analyst II

Mandaluyong City, Metro Manila
Nursing graduate with PH license, with at least 1-year BPO experience

Opportunity details

Opportunity Type
Graduate Job
Number of Vacancies
Start Date

Application dates

Applications Close
31 May 2021

Minimum requirements

Minimum Prior Qualification
Accepting International Applications
Qualifications Accepted
Aged Care Nursing
Community Nursing
Critical Care Nursing
Family & Child Health Nursing
Mental Health Nursing
Nursing & Midwifery (all other)

Job Track Description:

  • Requires formal education and relevant expertise in a professional, sales, or technical area.
  • Performs technical-based activities.
  • Contributes to and manages projects.
  • Uses deductive reasoning to solve problems and make recommendations.
  • Interfaces with and influences key stakeholders.
  • Leverages previous knowledge and expertise to achieve results.
  • Ability to complete work self-guided.
  • College or university degree required.

General Profile

  • Requires an understanding of the company, processes, and customers.
  • Uses existing procedures to solve routine or standard problems.
  • Receives moderate guidance and direction from others.

Functional Knowledge

  • Requires expanded conceptual understanding of theories, practices, and procedures. 

Business Expertise

  • Uses an understanding of key business drivers to accomplish work.


  • Impacts a team, by example, through the quality service and information provided
  • Works within guidelines and policies.


  • No supervisory responsibilities.
  • Provides informal guidance to new team members.

Problem Solving

  • Uses existing procedures to solve standard problems.
  • Examines information and standard practices to make judgments.

Interpersonal Skills

  • Exchanges complex information and ideas effectively.
  • Responsibility Statements
  • Applies medical judgment to adjudication of cases/claims.
  • Reviews requests for denial reconsideration and appeals.
  • Manually price and review claims for appropriateness of care or coverage.
  • Works directly with the client to provide input under program policy or procedural requirements.
  • Coordinate with clinical peer reviewers for case/claim resolution.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Additional Information

  • Requires Registered Nurse license in good standing.